Clayton, Charles J
Clayton, Charles J is an individual health care provider with primary practice located at 14645 Ne Bel Red Rd Ste 102 , Bellevue WA 98007-3929. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clayton, Charles J can be contacted via phone (425) 747-2020.Contact Information
Primary practice address
14645 Ne Bel Red Rd Ste 102
Bellevue WA 98007-3929
Phone: (425) 747-2020
Fax: (425) 747-2099
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 3565 | Washington |
Profile Details
NPI number | 1487649810 |
---|---|
LBN Legal business name | Clayton, Charles J |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2005 |
Last updated | Apr 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487649810 | NPPES |
Washington | Other | 1374CL | REGENCE BLUE SHIELD |
Washington | Other | 410045253 | REGENCE BLUE SHIELD |
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