IndividualActive
Adam Clarke
NPI 1710418124 · Ophthalmology Physician · Columbia, MO
Provider details
- NPI number
- 1710418124
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2021025655 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583
Phone: (573) 441-7070
Fax: (573) 441-2288
Approximate (ZIP-level) locationGet directions
Mailing address
1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.