Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Gregory Alexander Clark, O.D.
Optometrist in Coon Rapids, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1467521153
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Registry record
Entity type Individual (Type 1)
Name Dr. Gregory Alexander Clark
Credential O.D.
Sex Male
Practice address 12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids, MN, 55448
Phone (763) 712-7761
Fax (763) 712-7787
Enumeration date Nov 7, 2006
Last updated in NPPES Nov 29, 2012
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163474700 | Medicaid | MN | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Gregory Clark practice?
The practice location on file with NPPES is in Coon Rapids, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Gregory Clark?
The National Provider Identifier (NPI) for Gregory Clark is 1467521153, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Costco Wholesale Corporation Community/Retail Pharmacy · Coon Rapids, MN NPI 1568572188 Gregory Clark, O.D., Inc. Optometrist · Coon Rapids, MN NPI 1801965504 Spring Romer Pharmacist · Coon Rapids, MN NPI 1770866865 Costco Wholesale Corporation Eyewear Supplier · Coon Rapids, MN NPI 1326439167 Costco Wholesale Corporation Hearing Aid Equipment · Coon Rapids, MN NPI 1962897819
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-29.