Charles A Clark, OD is a
Optometrist based in Corydon, Iowa. Charles A Clark is licensed to practice in Iowa (license number 01637) and his current practice location is
212 N Franklin St, Corydon, Iowa. He can be reached at his office (for appointments etc.) via phone at
(641) 774-5819.
NPI number for Charles A Clark is 1922090752 and his current mailing address is 212 N Franklin St, Po Box 611, Corydon, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922090752.
Healthcare Provider's Profile
| Full Name | Charles A Clark |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 212 N Franklin St, Corydon, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922090752
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 07/12/2016
Medical Identifiers
Medical identifiers for Charles A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922090752 | NPI | - | NPPES |
| 3162669 | Medicaid | IA | |
| 410045287 | Other | IA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 01637 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles A Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Charles A Clark, OD 212 N Franklin St, Po Box 611, Corydon, IA 50060-1328 Ph: (641) 774-5819 | Charles A Clark, OD 212 N Franklin St, Corydon, IA 50060-1328 Ph: (641) 774-5819 |
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