Sasser, Carl David
Sasser, Carl David is an sole proprietor health care provider with primary practice located at 11362 Old Us Highway 52 , Winston Salem NC 27107-9841. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sasser, Carl David can be contacted via phone (336) 764-2449.Contact Information
Primary practice address
11362 Old Us Highway 52
Winston Salem NC 27107-9841
Phone: (336) 764-2449
Fax: (336) 764-4156
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1090 | North Carolina |
Profile Details
NPI number | 1932103470 |
---|---|
LBN Legal business name | Sasser, Carl David |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2005 |
Last updated | Aug 27th, 2008 - about 16 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 | 1932103470 | NPPES |
North Carolina | MEDICAID | 8909807 |
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