Charles Clark

NPI 1366175374 · on the registry since 2022 · sole proprietor

Practice

Address: 3812 Liberty Hwy
Anderson, SC 29621
Phone: (864) 225-2800
Fax: (864) 225-6444
Organisation at this address: Sams East Inc
Sams East Inc
Walmart Pharmacy
Anderson Vision Llc
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Optician
156FX1800X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina