Clark Edward Deshon in Olney - Optometrist
Clark Edward Deshon - NPI 1861482309
Clark Edward Deshon is a Optometrist in Olney, Illinois. Clark Edward Deshon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Clark Edward Deshon is 1861482309. The last update date is 2018-08-31.
Clark Edward Deshon's current location address is 303 E Main St, Olney, Illinois. You can contact this provider via phone number 6183952676 and fax number 6183952720. The mailing address for Clark Edward Deshon is 303 E Main St, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Edward Deshon |
|---|---|
| Address | 303 E Main St, Olney, Illinois |
| Phone Number | 6183952676 |
| Fax Number | 6183952720 |
| Sole Proprietor | Y |
| Credentials | O.D., F.A. |
NPI Number Detail
| NPI Number | 1861482309 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2018-08-31 |
Provider Mailing Address Detail
| Address | 303 E Main St |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624502117 |
| Phone Number | 6183952676 |
| Fax Number | 6183952720 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008793 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5290131 | IL | AETNA | |
| 46008793 | IL | -- | |
| 9327152 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clark Edward Deshon by the Centers for Medicare & Medicaid Services?
The Clark Edward Deshon has been issued the NPI (National Provider Identifier) 1861482309 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Clark Edward Deshon is physically located?
The Clark Edward Deshon is physically situated at the following address: 303 E Main St, Olney, IL, 624502117.
What is Clark Edward Deshon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clark Edward Deshon is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Clark Edward Deshon receive its 1861482309 assignment?
The Clark Edward Deshon was assigned its 1861482309 on 2005-10-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Clark Edward Deshon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clark Edward Deshon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-08-31.