Clark, Christopher M

Clark, Christopher M is an individual health care provider with primary practice located at 1960 Electric Rd , Roanoke VA 24018-1601. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Clark, Christopher M can be contacted via phone (540) 776-9722.

Contact Information

Primary practice address
1960 Electric Rd Roanoke VA 24018-1601
Phone: (540) 776-9722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1101 002026 Virginia

Profile Details

NPI number 1801063664
LBN Legal business name Clark, Christopher M
Credentials LICENSED OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated May 12th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801063664 NPPES
Virginia Other OP2378 EYEMED VISION CARE

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