Clark, Orville Mayo
Clark, Orville Mayo is an individual health care provider with primary practice located at 237 Second Street , Pikeville KY 41501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clark, Orville Mayo can be contacted via phone (606) 437-9955.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0827DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001530 | Virginia |
Profile Details
| NPI number | 1710022710 |
|---|---|
| LBN Legal business name | Clark, Orville Mayo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1710022710 | NPPES |
| Kentucky | MEDICAID | 77008274 |
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