Boyd, Clifton Clark
Boyd, Clifton Clark is an sole proprietor health care provider with primary practice located at 724 Richland Ave W , Aiken SC 29801-3832. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boyd, Clifton Clark can be contacted via phone (803) 648-8974.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 909 | South Carolina |
Profile Details
| NPI number | 1659498897 |
|---|---|
| LBN Legal business name | Boyd, Clifton Clark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Apr 28th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659498897 | NPPES |
| South Carolina | MEDICAID | D09097 |
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