Organization
ZACK C CLARKSON JR LLC
Active
Other names
Clarkson Optometric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ZACK C CLARKSON JR. OD (OWNER)
(803) 254-4951
Entity
Organization
Contact information
Practice address
1513 GREGG ST, COLUMBIA, SC 29201-3529
(803) 254-4951
(803) 254-4952
Mailing address
1513 GREGG ST, COLUMBIA, SC 29201-3529
(803) 254-4951
(803) 254-4952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
534
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D05340
—
SC
Enumeration date
08/09/2006
Last updated
05/28/2008
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