| Dr Jackie Harold Clark Sr, OD | |
|
1805 N 13th St, Broken Arrow, OK 74012-8256 | |
| (918) 872-1833 | |
| Not Available |
| Full Name | Dr Jackie Harold Clark Sr |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1805 N 13th St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790769065 | NPI | - | NPPES |
| 100761100A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1129 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackie Harold Clark Sr, OD 1805 N 13th St, Broken Arrow, OK 74012-8256 Ph: (918) 872-1833 | Dr Jackie Harold Clark Sr, OD 1805 N 13th St, Broken Arrow, OK 74012-8256 Ph: (918) 872-1833 |
Dr. Kelly Glass, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2500 W New Orleans St, Broken Arrow, OK 74011 Phone: 918-893-3769 Fax: 918-286-8281 | |
Colby Beats, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 521s Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-9999 Fax: 918-258-2850 | |
Dr. James Thirion, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3505 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-286-2020 | |
Ba Vision Optometrist Medicare: Medicare Enrolled Practice Location: 521 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-9999 Fax: 918-258-2850 | |
Dr. Alfonso Hernandez Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3505 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-286-2020 | |
Thomas H Berenson O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 S Aspen Ave, Ste D, Broken Arrow, OK 74012 Phone: 918-451-2020 Fax: 918-449-9086 | |
Dr. Tracy L Shoemaker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4008 S Elm Pl, Ste A, Broken Arrow, OK 74011 Phone: 918-455-2020 Fax: 918-455-4030 |