Todd M. Clark, Od

NPI #1114195559 in Westerville, Ohio

Provider Information

NPI Number: 1114195559
Entity Type: Organization
Organization Name: Todd M. Clark, Od
Primary Specialty: Optometrist
Enumeration Date: Feb 20, 2008
Last Updated: May 19, 2008

Practice Location

Address: 550 S CLEVELAND AVE STE D
City: Westerville
State: Ohio
ZIP Code: 43081-8958
Phone: (614) 839-2733

Authorized Official

Name: LUCINDA ANDERSON, O.D.
Title: BILLING MANAGER
Phone: (941) 828-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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