# JOHN W MCCLANE III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366529075
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1488 | FL | Yes |
| 152W00000X | Optometrist | 887 | GA | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 01/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00243911B | — | GA |
| 05 | — | 00254141B | — | GA |
| 05 | — | 00261797C | — | GA |
| 05 | — | 959951220A | — | GA |