Individual
DR. CHARLES J CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14645 NE BEL RED RD STE 102, BELLEVUE, WA 98007-3929
(425) 747-2020
(425) 747-2099
Mailing address
14645 NE BEL RED RD STE 102, BELLEVUE, WA 98007-3929
(425) 747-2020
(425) 747-2099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1374CL
REGENCE BLUE SHIELD
WA
01
—
410045253
RAILROAD MEDICARE PIN
WA
Enumeration date
09/12/2005
Last updated
04/26/2023
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