Carlson, Jordan
Carlson, Jordan is an individual health care provider with primary practice located at 322 Union Station Dr , Seneca SC 29678-4547. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carlson, Jordan can be contacted via phone (864) 654-6706.Contact Information
Primary practice address
322 Union Station Dr
Seneca SC 29678-4547
Phone: (864) 654-6706
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2342 | South Carolina |
Profile Details
| NPI number | 1518606391 |
|---|---|
| LBN Legal business name | Carlson, Jordan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2022 |
| Last updated | Jun 13th, 2024 - about 2 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 | 1518606391 | NPPES |
| South Carolina | Other | 2342 | SC BOARD OF OPTOMETRY LICENSE |
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