Jacob David Clark (NPI# 1760049068, PAC ID# 0547596462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760049068 |
| PAC ID by PECOS | 0547596462 |
| Professional Enrollment ID | I20190730001564 |
| Full Name | Jacob David Clark |
| Organization Legal Name | MYEYEDR OPTOMETRY OF ALABAMA LLC |
| Address |
4800 Whitesburg Dr S Suite 26 Huntsville AL 35802-1600 |
| Phone Number | 2562132020 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0840559878 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4800 Whitesburg Dr S, Suite 26, Huntsville, AL 35802-1600 | 2562132020 | MYEYEDR OPTOMETRY OF ALABAMA LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF ALABAMA LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Gravlee | Optometry | Myeyedr Optometry of Alabama LLC | 1701 Mcfarland Blvd E, Suite 121, Tuscaloosa, AL 35404-5829 |
| Ashley L Van Lede | Optometry | Myeyedr Optometry of Alabama LLC | 601 B Graham St Sw, Cullman, AL 35055-5298 |
| James B Perry | Optometry | Myeyedr Optometry of Alabama LLC | 2617 Hwy 31 S, Pelham, AL 35124-1322 |
| Kacey Cilimberg | Optometry | Myeyedr Optometry of Alabama LLC | 3431 Colonnade Pkwy, Suite 100, Birmingham, AL 35243-3338 |
| Latandra C Blue | Optometry | Myeyedr Optometry of Alabama LLC | 2100 Bessemer Rd, Birmingham, AL 35208-3408 |
| Brooke S Kaplan | Optometry | Myeyedr Optometry of Alabama LLC | 2737 Hwy 280 S, Suite 191, Mountain Brk, AL 35223-2495 |
| Mark E Schaeffer | Optometry | Myeyedr Optometry of Alabama LLC | 1686 Montgomery Hwy, Vestavia Hills, AL 35216-4906 |
| Ellen R Patton | Optometry | Myeyedr Optometry of Alabama LLC | 9709 Pkwy E, Suite Aandb, Birmingham, AL 35215-7853 |
| Jason L Stephenson | Optometry | Myeyedr Optometry of Alabama LLC | 129 N Chalkville Rd, Trussville, AL 35173-1376 |
| Douglas C Clark | Optometry | Myeyedr Optometry of Alabama LLC | 195 Hwy 304, Calera, AL 35040-5534 |
| Street Address |
4800 WHITESBURG DR S SUITE 26 |
| City | HUNTSVILLE |
| State | AL |
| Zip | 35802-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Thorsen | Physical Therapy | Austin Physical Therapy LLC | 2089 Cecil Ashburn Rd, Suite 202, Hunstville, AL 35802 |
| Melanie B Scalfano | Physical Therapy | Austin Physical Therapy LLC | 2089 Cecil Ashburn Rd, Suite 202, Hunstville, AL 35802 |
| Kent Myer | Physical Therapy | Austin Physical Therapy LLC | 2089 Cecil Ashburn Rd, Suite 202, Hunstville, AL 35802 |
| Lori Elise Peek | Physical Therapy | 2815 Carl T Jones Dr Se, Huntsville, AL 35802-1268 | |
| Sarah S Jacobs | Chiropractic | 975 Airport Swrd H, Huntsville, AL 35802-1395 | |
| Mark L. Midenberg | Podiatry | 115 Queensbury Sw Dr, Huntsville, AL 35802-1501 | |
| Victor Keith Jiminez | Urology | Urology Specialists PC | 4704 Whitesburg Dr, Ste100, Huntsville, AL 35802-1631 |
| Michael T Wood | Urology | Urology Specialists PC | 4704 Whitesburg Dr, Ste100, Huntsville, AL 35802-1631 |
| Michael Wayne Brown | Urology | Urology Specialists PC | 4704 Whitesburg Dr, Ste100, Huntsville, AL 35802-1631 |
| James A Flatt | Urology | Urology Specialists PC | 4704 Whitesburg Dr, Ste100, Huntsville, AL 35802-1631 |
| Find all physicians in zip 35802 | |||
| City | HUNTSVILLE |
| Zip Code | 35802 |
| Specialty | OPTOMETRY |
| City + Specialty | HUNTSVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Jacob David Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.