Jacob A Clark, MD | |
411 N Washington St, Alexandria, VA 22314-2311 | |
(703) 548-5588 | |
(703) 549-1599 |
Full Name | Jacob A Clark |
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Gender | Male |
Speciality | Ophthalmology |
Experience | 43 Years |
Location | 411 N Washington St, Alexandria, Virginia |
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 |
---|---|---|---|
1164464806 | NPI | - | NPPES |
6375570 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0101041044 (Virginia) | Primary |
Entity Name | Alexandria Ophthalmic Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285958538 PECOS PAC ID: 6406987924 Enrollment ID: O20100628000624 |
Mailing Address | Practice Location Address |
---|---|
Jacob A Clark, MD 411 N Washington St, Alexandria, VA 22314-2311 Ph: (703) 548-5588 | Jacob A Clark, MD 411 N Washington St, Alexandria, VA 22314-2311 Ph: (703) 548-5588 |
Walter N Wills, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1101 King Street, Suite 100, Lasik Plus Vision Center, Alexandria, VA 22314 Phone: 703-518-8913 | |
Nicholas Ellyn, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1707 Osage St, Suite 205, Alexandria, VA 22302 Phone: 703-578-0100 Fax: 703-824-8357 | |
Dr. Tofik Mohammed Ali, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6303 Little River Tpke Ste 350, Alexandria, VA 22312 Phone: 571-335-4085 Fax: 571-335-4162 | |
Dr. Steven Redding Bullard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2865 Duke St, Alexandria, VA 22314 Phone: 703-370-2455 Fax: 703-461-7887 | |
Dr. Gordon A Byrnes, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6354 Walker Ln Ste 100, Suite 502, Alexandria, VA 22310 Phone: 703-313-8822 Fax: 703-313-9422 | |
Dr. Michael B Rivers, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6355 Walker Ln, Suite 502, Alexandria, VA 22310 Phone: 703-313-8822 Fax: 703-313-9422 |