Organization
CLEMSON EYE, PA
Active
Parent organization
CLEMSON EYE, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON EYE, PA
Authorized official
KEVIN BECKER (CFO)
(914) 391-4921
Entity
Organization
Contact information
Practice address
931 TIGER BLVD, CLEMSON, SC 29631-1419
(864) 654-6706
(864) 654-3275
Mailing address
PO BOX 896189, CHARLOTTE, NC 28289-6189
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9729
—
SC
Enumeration date
11/11/2008
Last updated
07/23/2026
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