DR. Richard Clark

NPI #1184477085 in Long Beach, Mississippi

Provider Information

NPI Number: 1184477085
Entity Type: Individual
Name: DR. Richard Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Apr 9, 2024
Last Updated: Aug 6, 2024

Practice Location

Address: 202 E RAILROAD ST
City: Long Beach
State: Mississippi
ZIP Code: 39560-4627
Phone: (228) 686-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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