MR. Nickolas Wilson Clark, OD

NPI #1740478403 in Pearisburg, Virginia

Provider Information

NPI Number: 1740478403
Entity Type: Individual
Name: MR. Nickolas Wilson Clark, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 9, 2007
Last Updated: Jul 6, 2018

Practice Location

Address: 122 TAZEWELL ST
City: Pearisburg
State: Virginia
ZIP Code: 24134
Phone: (540) 921-3921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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