Zack C Clarkson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC534 Issued in SC

Practice address

1513 Gregg St
Columbia, SC 29201-3529

Phone

(803) 254-4951

Fax

(803) 254-4952

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1356333413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013529",
            "telephone_number": "803-254-4951",
            "fax_number": "803-254-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013529",
            "telephone_number": "803-254-4951",
            "fax_number": "803-254-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "ZACK",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "407540233",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D05340",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "047383001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tresvant Llewellyn Clark
• April Tamara Singleton Clarke, MD
• Marlon Alando Clarke, M.D
• Francis Ancrum Clarkson, M.D
• Lola B Clarkson, MD
• Anna Beth Claros
• Matthew Todd Clary, M.D.
• Stephen Edward Clary, DDS
• Janssen Claudio, PHARMD
• Tammy Clauss

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.