Individual
DR. JOHN CLERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3528 YADKINVILLE RD, WINSTON SALEM, NC 27106-2535
(336) 924-6811
(336) 922-4375
Mailing address
3528 YADKINVILLE RD, WINSTON SALEM, NC 27106-2535
(336) 924-6811
(336) 922-4375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909158
—
NC
Enumeration date
12/20/2005
Last updated
12/07/2007
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