William L Clark (NPI# 1528057890, PAC ID# 2668569161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1528057890 |
| PAC ID by PECOS | 2668569161 |
| Professional Enrollment ID | I20081112000340 |
| Full Name | William L Clark |
| Organization Legal Name | PALMETTO RETINA CENTER LLC |
| Address |
528 Broad St Suite 101 Sumter SC 29150-3368 |
| Phone Number | 8039310077 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4486741980 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420086 | PALMETTO HEALTH BAPTIST |
| Address | Phone | Organization |
|---|---|---|
| 400 N Cashua Dr, Florence, SC 29501-2098 | 8039310077 | PALMETTO RETINA CENTER LLC |
| 528 Broad St, Suite 101, Sumter, SC 29150-3368 | 8039310077 | PALMETTO RETINA CENTER LLC |
| 124 Sunset Ct, West Columbia, SC 29169-2429 | 8039310077 | PALMETTO RETINA CENTER LLC |
| Organization Legal Name | PALMETTO RETINA CENTER LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Matthew Hypes | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| John F Payne | Ophthalmology | Palmetto Retina Center LLC | 1170 Boulevard St E, Orangeburg, SC 29115-4359 |
| Joshua Robinson | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| David L Johnson | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| John A Wells Iii | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| Street Address |
528 BROAD ST SUITE 101 |
| City | SUMTER |
| State | SC |
| Zip | 29150-3368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Troy Alexander | Optometry | Pee Dee Eye Associates Pa | 528 Broad St, Suite 101, Sumter, SC 29150-3368 |
| Christy Thomas Slocum | Clinical Social Worker | 528 Broad St, Suite 202, Sumter, SC 29150-3368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SUMTER + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.