DR. CLEM DONALD MCDUFFIE (NPI# 1699863175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699863175 |
| Entity Type | Individual |
| Full Name | DR. CLEM DONALD MCDUFFIE |
| Credential | OD |
| Practice Address |
4500 Stuart Street Mach, Attn: Mcxl-pq (credentials) Fort Jackson SC 29207-5720 |
| Practice Telephone | 8037512618 |
| Practice Fax Number | 8037512689 |
| Mailing Telephone | 8037512618 |
| Mailing Fax Number | 8037512689 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152W00000X | Optometrist | 3729T | TX | Eye and Vision Services Providers |
| X | 152W00000X | Optometrist | 1528 | NC | Eye and Vision Services Providers |
| Street Address |
4500 STUART STREET MACH, ATTN: MCXL-PQ (CREDENTIALS) |
| City | FORT JACKSON |
| State | SC |
| Zip Code | 29207-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699741447 | Angela Robinson | Nurse Anesthetist, Certified Registered | 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5700 | 2006-02-23 |
| 1598854507 | Thaddeus Paul Ozimek | Psychiatric Unit | 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5720 | 2006-10-11 |
| 1013004829 | James P Burns | Occupational Therapist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-10-05 |
| 1568556157 | Larry Kenneth Andreo | Ophthalmology | 4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede, Fort Jackson, SC 29207-5720 | 2006-10-03 |
| 1255422184 | Martha Monson Sribnick | Pediatrics | 4500 Stuart Street, Moncrief Army Community Hosptial/credentials, Fort Jackson, SC 29207-5720 | 2006-09-27 |
| 1639270630 | Chad Eric Gosnell | Optometrist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-09-25 |
| 1801993282 | Julie Clare | Nurse Practitioner | 4500 Stuart Street, Moncrief Army Hosital Attn: Mcxl-pq (credentials), Fort Jackson, SC 29207-5720 | 2006-09-20 |
| 1518064930 | Jeffrey Earl Trigg | Physician Assistant | 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5720 | 2006-09-20 |
| 1558469692 | Mandy Shealey Poston | Pharmacist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-09-20 |
| 1235235482 | Pennye Murean Hamilton | Pharmacist | 4500 Stuart Street, Moncrief Army Community Hosp, Fort Jackson, SC 29207-5720 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639270630 | Chad Eric Gosnell | Optometrist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-09-25 |
| 1336152529 | Darrell L Witt | Optometrist | 4500 Stuart St, Mach/credentials, Fort Jackson, SC 29207-5720 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1760080824 | Jason Thomason | Optometrist | 113 Foxbank Plantation Blvd # C, Moncks Corner, SC 29461-6707 | 2020-10-12 |
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1871101857 | National Vision Inc | Optometrist | 1050 Fording Island Rd Ste G, Bluffton, SC 29910-8667 | 2020-07-16 |
| 1770104549 | Erica Jill Bobb | Optometrist | 3029 Oliver Stanley Trl, Lancaster, SC 29720-0286 | 2020-05-02 |
| 1346860491 | Hannah C. Williams | Optometrist | 2008 Concord Dr, Camden, SC 29020-9516 | 2020-04-19 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT JACKSON |
| Zip Code | 29207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.