Scott Clark, OD

NPI #1205903754 in Beverly, Massachusetts

Provider Information

NPI Number: 1205903754
Entity Type: Individual
Name: Scott Clark, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 29, 2006
Last Updated: Apr 20, 2020

Practice Location

Address: 491 RANTOUL ST
City: Beverly
State: Massachusetts
ZIP Code: 01915-3231
Phone: (508) 922-4732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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