Individual provider Active NPI

William David McClam, LDO,CLDO

  • Optician
  • Murrells Inlet, SC
National Provider Identifier
1710616008
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
545 Garden City Connector
Murrells Inlet, SC 29576-7847
Phone
(843) 357-0382
Fax
(843) 357-0376
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X SC Primary

Addresses

Primary practice location

545 Garden City Connector
Murrells Inlet, SC 29576-7847

Mailing address

545 Garden City Connector
Murrells Inlet, SC 29576-7847
Phone (843) 357-0382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1710616008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 GARDEN CITY CONNECTOR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767847",
            "telephone_number": "843-357-0382",
            "fax_number": "843-357-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 GARDEN CITY CONNECTOR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767847",
            "telephone_number": "843-357-0382",
            "fax_number": "843-357-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAM",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "LDO,CLDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.