St. Clair, Gary Houston
St. Clair, Gary Houston is an sole proprietor health care provider with primary practice located at 20838A Timberlake Rd , Lynchburg VA 24502-7241. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. St. Clair, Gary Houston can be contacted via phone (434) 239-2800.Contact Information
Primary practice address
20838A Timberlake Rd
Lynchburg VA 24502-7241
Phone: (434) 239-2800
Fax: (434) 237-7037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000448 | Virginia |
Profile Details
| NPI number | 1548274657 |
|---|---|
| LBN Legal business name | St. Clair, Gary Houston |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Nov 23rd, 2016 - about 9 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 | 1548274657 | NPPES |
| Virginia | MEDICAID | 009204555 |
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