Boyd A. Clark, OD

Optometrist · Callaway, FL

Individual Active NPI

NPI number 1205830767

Practice location

725 N Tyndall Pkwy
Callaway, FL 32404-3219
Phone
(850) 785-0007
Fax
(850) 785-0009

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NPI record

NPI
1205830767
Entity type
Individual (Type 1)
Enumeration date
June 10, 2005
Last updated
April 28, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X FL 1463 FL

Mailing address

725 N Tyndall Pkwy
C/O Vision Center
Callaway, FL 32404-3219
Phone
(850) 785-0007
Fax
(850) 785-0009

About Dr. Clark

Boyd A. Clark, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 725 N Tyndall Pkwy, Callaway, FL 32404-3219. The NPI number 1205830767 was assigned on June 10, 2005 and the record was last updated on April 28, 2016.

Dr. Clark lists a license in the registry: #FL 1463 (FL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Boyd A. Clark, OD?

The NPI number is 1205830767.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (850) 785-0007.

Where is Dr. Clark located?

725 N Tyndall Pkwy, Callaway, FL 32404-3219.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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