Clyde M Fenton is a Optometrist in Portsmouth, Ohio. Clyde M Fenton practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Clyde M Fenton is 1104987007. The last update date is 2013-09-03.
Clyde M Fenton's current location address is 2002 Robinson Ave, Portsmouth, Ohio. You can contact this provider via phone number 7403535351 and fax number 7403538647. The mailing address for Clyde M Fenton is 2002 Robinson Ave, Portsmouth, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde M Fenton |
|---|---|
| Address | 2002 Robinson Ave, Portsmouth, Ohio |
| Phone Number | 7403535351 |
| Fax Number | 7403538647 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104987007 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2013-09-03 |
Provider Mailing Address Detail
| Address | 2002 Robinson Ave |
|---|---|
| City | Portsmouth |
| State | Ohio (OH) |
| Post Code | 456623650 |
| Phone Number | 7403535351 |
| Fax Number | 7403538647 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3023 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 344541 | OH | -- |
Post Comment/ Review Below
What is the Clyde M Fenton's 1104987007?
The Clyde M Fenton's NPI (National Provider Identifier) Number is 1104987007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clyde M Fenton is physically located?
The Clyde M Fenton is physically situated at the following address: 2002 Robinson Ave, Portsmouth, OH, 456623650.
What is Clyde M Fenton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clyde M Fenton is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104987007 to Clyde M Fenton?
The Centers for Medicare & Medicaid Services originally issued the 1104987007 to Clyde M Fenton on 2006-12-13.
As of what date were the details pertaining to Clyde M Fenton last refreshed?
The information related to the Clyde M Fenton, including its address, specialty, and other relevant details, was last updated on 2013-09-03.