| Dr Dwight Eugene Clark, OD | |
|
11216 Trinity River Drive, Rancho Cordova, CA 95670 | |
| (916) 635-6161 | |
| (916) 631-3788 |
| Full Name | Dr Dwight Eugene Clark |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 54 Years |
| Location | 11216 Trinity River Drive, Rancho Cordova, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043321169 | NPI | - | NPPES |
| SD0055120 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5512 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Joseph R Martel Md Inc | 0648225904 | 3 |
| Provider Name | Joseph R Martel MD Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841326824 PECOS PAC ID: 0648225904 Enrollment ID: O20050318000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dwight Eugene Clark, OD 11216 Trinity River Drive, Rancho Cordova, CA 95670 Ph: (916) 635-6161 | Dr Dwight Eugene Clark, OD 11216 Trinity River Drive, Rancho Cordova, CA 95670 Ph: (916) 635-6161 |
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Dr. Ekaterina Golub, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11260 White Rock Rd, Rancho Cordova, CA 95742 Phone: 916-724-2265 Fax: 916-357-7867 |
Dr. Teresa M. Gerard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10921 Olson Dr, Rancho Cordova, CA 95670 Phone: 916-635-1823 Fax: 916-635-0912 |
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