Connor, Charles G

Connor, Charles G is an individual health care provider with primary practice located at 9725 Datapoint Dr , San Antonio TX 78229-2384. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Connor, Charles G can be contacted via phone (210) 283-6824.

Contact Information

Primary practice address
9725 Datapoint Dr San Antonio TX 78229-2384
Phone: (210) 283-6824
Fax: (210) 283-6890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1238 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 7934 Texas

Profile Details

NPI number 1558354696
LBN Legal business name Connor, Charles G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 11th, 2014 - about 12 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 1558354696 NPPES
Tennessee Other 1238 OD
Tennessee MEDICAID 3597523 OD

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