Charles A Clark, OD is a medicare enrolled "Optometrist" provider in Corydon, Iowa. His current practice location is
212 N Franklin St, Corydon, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 774-5819.
Charles A Clark is licensed to practice in Iowa (license number 01637) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922090752.
Healthcare Provider's Profile
Full Name | Charles A Clark |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 212 N Franklin St, Corydon, Iowa |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Charles A Clark attended and graduated from in
NPI Data:
- NPI Number: 1922090752
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 07/12/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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
enrolled with medicare and thus, if eligible, can 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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