Moffett, John Clark
Moffett, John Clark is an individual health care provider with primary practice located at 1514 E Belt Line Rd , Carrollton TX 75006-6369. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moffett, John Clark can be contacted via phone (972) 242-2020.Contact Information
Primary practice address
1514 E Belt Line Rd
Carrollton TX 75006-6369
Phone: (972) 242-2020
Fax: (214) 553-9902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02501 | Texas |
Profile Details
| NPI number | 1780886531 |
|---|---|
| LBN Legal business name | Moffett, John Clark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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 | 1780886531 | NPPES |
| Texas | Other | 02501 | LICENCE |
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