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Edward Owen Clark, LDO,ABOC
Optician in Chester, Virginia
NPI 1952012130

Edward Owen Clark is a Optician based in Chester, VA and is specialized in Optician. Edward Owen Clark practices in Chester, VA and has the professional credentials of LDO,ABOC. The NPI Number for Edward Owen Clark is 1952012130 and holds a License No. 1101003836 (Virginia).

The current practice location address for Edward Owen Clark is 12000 Iron Bridge Rd, Chester, VA and can be reached out via phone at 804-768-1273.

Location: 12000 Iron Bridge Rd, Chester, VA, 23831-1459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952012130
Provider Name
Edward Owen Clark
Credential
LDO,ABOC
Provider Entity Type
Individual
Gender
Male
Address
12000 Iron Bridge Rd, Chester, VA, 23831-1459
Phone Number
804-768-1273
Fax Number
Provider Enumeration Date
12/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12000 Iron Bridge Rd
City
Chester
State
Virginia
Zip
23831-1459
Phone Number
804-768-1273
Fax Number
person
Provider Business Mailing Address Details
Address
12000 Iron Bridge Rd
City
Chester
State
Virginia
Zip
23831-1459
Phone Number
804-768-1273
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1101003836 (Virginia)
Definition
Definition to come...
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