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

Dr. Jackie Harold Clark Sr., OD

Individual provider Optometrist · NPI 1790769065

Dr. Jackie Harold Clark Sr., OD is an Optometrist in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2005
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

1805 N 13th St
Broken Arrow, OK 74012-8256
Phone: (918) 872-1833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1129 (OK)

Record details

NPI number1790769065
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedDecember 1, 2005
Last updated in NPPESJune 10, 2011

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