Clarke, Calvin S

Clarke, Calvin S is an individual health care provider with primary practice located at 4314 Kemp Blvd , Wichita Falls TX 76308. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clarke, Calvin S can be contacted via phone (940) 691-5645.

Contact Information

Primary practice address
4314 Kemp Blvd Wichita Falls TX 76308
Fax: (940) 691-5653
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02116T Texas

Profile Details

NPI number 1629113345
LBN Legal business name Clarke, Calvin S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 10th, 2011 - about 15 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 1629113345 NPPES
Other 81139E BCBS

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