Mcclane, John W
Mcclane, John W is an individual health care provider with primary practice located at 6 South 14Th Street , Fernandina Beach FL 32034. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcclane, John W can be contacted via phone (904) 261-5741.Contact Information
Primary practice address
6 South 14Th Street
Fernandina Beach FL 32034
Phone: (904) 261-5741
Fax: (904) 261-7383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 887 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1488 | Florida |
Profile Details
| NPI number | 1366529075 |
|---|---|
| LBN Legal business name | Mcclane, John W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 7th, 2019 - about 7 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 | 1366529075 | NPPES |
| Georgia | MEDICAID | 00261797C | |
| Georgia | MEDICAID | 00243911B | |
| Georgia | MEDICAID | 00254141B | |
| Georgia | MEDICAID | 959951220A |
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