Sites, Clifton G

Sites, Clifton G is an individual health care provider with primary practice located at 621 N Riverside Dr Sites Vision Clinic, Clarksville TN 37040. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sites, Clifton G can be contacted via phone (931) 647-5237.

Contact Information

Primary practice address
621 N Riverside Dr Sites Vision Clinic Clarksville TN 37040
Fax: (931) 647-5254
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT652 Tennessee

Profile Details

NPI number 1831100460
LBN Legal business name Sites, Clifton G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated May 5th, 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 1831100460 NPPES
Tennessee MEDICAID 359237
Tennessee Other 131605

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