DR. JACKIE HAROLD SR. CLARK (O.D.) – Optometrist, NPI 1790769065

DR. JACKIE HAROLD SR. CLARK (O.D.) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1129 (OK). The NPI Number for DR. JACKIE HAROLD SR. CLARK (O.D.) is 1790769065

Main info

Male
Sole Proprietor
Name
DR. JACKIE HAROLD SR. CLARK (O.D.)
NPI
1790769065
Phone
(918) 872-1833
Address
1805 N 13TH ST
Enumeration Date
1 December 2005
Last Update Date
10 June 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JACKIE HAROLD SR. CLARK (O.D.)

  • 1805, North 13th Street, Broken Arrow, Tulsa, Oklahoma, 74012, United States

    BROKEN ARROW, OK 740128256

    Phone: (918) 872-1833

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74012)

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Frequently asked questions

What number should I use to identify DR. JACKIE HAROLD SR. CLARK (O.D.) for billing?
Administrative and clinical systems typically use NPI 1790769065 for DR. JACKIE HAROLD SR. CLARK (O.D.).
Is DR. JACKIE HAROLD SR. CLARK (O.D.)'s NPI status active today?
Active status means DR. JACKIE HAROLD SR. CLARK (O.D.)'s NPI record is not deactivated in the public file.
What services align with DR. JACKIE HAROLD SR. CLARK (O.D.)'s listing?
DR. JACKIE HAROLD SR. CLARK (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JACKIE HAROLD SR. CLARK (O.D.)?
DR. JACKIE HAROLD SR. CLARK (O.D.) is associated with Broken Arrow, Oklahoma in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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