Loftis, Clarence Earl

Loftis, Clarence Earl is an individual health care provider with primary practice located at 1219 Lincoln St , Columbia SC 29201-3135. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Loftis, Clarence Earl can be contacted via phone (803) 799-2020.

Contact Information

Primary practice address
1219 Lincoln St Columbia SC 29201-3135
Phone: (803) 799-2020
Fax: (803) 799-2035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 636 South Carolina
Eye and Vision Services Providers / Optometrist 152W00000X 0916D Kentucky

Profile Details

NPI number 1518925791
LBN Legal business name Loftis, Clarence Earl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jun 8th, 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 1518925791 NPPES
South Carolina MEDICAID D06363

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