National Provider Identifier Database

JACOB D CLARK, OD – NPI #1760049068
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JACOB D CLARK, OD
2826 ROSS CLARK CIR STE 102
DOTHAN, AL36301-2017
Phone: 334-793-2633
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JACOB D CLARK

NPI Number 1760049068
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/22/2019
Last updated 07/25/2025 - About 10 months ago
Sole proprietor1 No
Identifiers
  • AL License #: S-E20-TA-B53
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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