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

Dr. Gregory Alexander Clark, OD

Individual provider Optometrist · NPI 1467521153

Dr. Gregory Alexander Clark, OD is an Optometry in Coon Rapids, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2001, 25 years ago. Practices with Gregory Clark, OD, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12547 Riverdale Blvd NW Costco Optical Dept
Coon Rapids, MN 55448-6708
Phone: (763) 712-7761
Fax: (763) 712-7787
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2806 (MN)

Record details

NPI number1467521153
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESNovember 29, 2012
Mailing address16160 22nd Pl N, Plymouth, MN 55447-2382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2001 (25 years in practice)
Group practice Gregory Clark, O.D., Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coon Rapids