Clark, Edward Owen

Clark, Edward Owen is an sole proprietor health care provider with primary practice located at 12000 Iron Bridge Rd , Chester VA 23831-1459. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Clark, Edward Owen can be contacted via phone (804) 768-1273.

Contact Information

Primary practice address
12000 Iron Bridge Rd Chester VA 23831-1459
Phone: (804) 768-1273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1101003836 Virginia

Profile Details

NPI number 1952012130
LBN Legal business name Clark, Edward Owen
Credentials LDO,ABOC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2022
Last updated Dec 8th, 2022 - about 3 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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