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GREGORY CLARK, O.D.

O.D.

Optometrist

NPI: 1467521153IndividualAccepts Medicare

Specialties, Licenses & Credentials

OptometristPrimary

Optometrist

Code: 152W00000X

2806(MN)

CMS Specialties

PrimaryOPTOMETRY

Education

ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO

Class of 2001

Contact & Hours

Address
12547 RIVERDALE BLVD NW, COSTCO OPTICAL DEPARTMENT
COON RAPIDS, MN 55448

Quick Facts

NPI
1467521153
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
25

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