Clarkson, Zack C

Clarkson, Zack C is an individual health care provider with primary practice located at 1513 Gregg St , Columbia SC 29201-3529. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clarkson, Zack C can be contacted via phone (803) 254-4951.

Contact Information

Primary practice address
1513 Gregg St Columbia SC 29201-3529
Phone: (803) 254-4951
Fax: (803) 254-4952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC534 South Carolina

Profile Details

NPI number 1356333413
LBN Legal business name Clarkson, Zack C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 14th, 2008 - about 18 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 1356333413 NPPES
Other 407540233 RAILROAD MEDICARE
MEDICAID D05340 RAILROAD MEDICARE
Other 047383001 RAILROAD MEDICARE

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