Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES EDWARD CLARK
Active Sole ProprietorCHARLES EDWARD CLARK is a Optician, Dispensing healthcare provider located in ANDERSON, South Carolina. NPI 1366175374 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ANDERSON, SC
Registration Details
- NPI Number
- 1366175374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2022 (4.1126787800496 yrs)
- Last Updated
- Jul 7, 2022
- License
-
343 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3812 LIBERTY HWYANDERSON, SC, 296211344Browse SC providers · Browse ZIP 29621
- Phone
- 8642252800
- Fax
- 8642256444
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in ANDERSON, SC
| Name | Credential | NPI |
|---|---|---|
| TASHA CLAUDETTE MCCLAM | ABOC, NCLEC, LDO | 1073368437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.