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
Fax: (336) 764-4156
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932103470 NPPES
North Carolina MEDICAID 8909807

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