Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Reed Clark, OD

Individual provider Optometrist · NPI 1063612497

Benjamin Reed Clark, OD is an Optometrist in Wisconsin Rapids, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1220 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone: (715) 421-2111
Fax: (715) 421-2123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3087-035 (WI)

Record details

NPI number1063612497
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

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