Jacob David Clark, OD

Optometrist · Dothan, AL

Individual Active NPI

NPI number 1760049068

Practice location

2826 Ross Clark Cir Ste 102
Dothan, AL 36301-2017
Phone
(334) 793-2633

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NPI record

NPI
1760049068
Entity type
Individual (Type 1)
Enumeration date
May 22, 2019
Last updated
July 25, 2025
Certified
June 30, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X S-E20-TA-B53 AL

Mailing address

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone
(334) 793-2211

About Dr. Clark

Jacob David Clark, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2826 Ross Clark Cir Ste 102, Dothan, AL 36301-2017. The NPI number 1760049068 was assigned on May 22, 2019 and the record was last updated on July 25, 2025.

Dr. Clark lists a license in the registry: #S-E20-TA-B53 (AL) 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 Jacob David Clark, OD?

The NPI number is 1760049068.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (334) 793-2633.

Where is Dr. Clark located?

2826 Ross Clark Cir Ste 102, Dothan, AL 36301-2017.

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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