Clinton D. Pon in Elk Grove - Optometrist

Clinton D. Pon - NPI 1013052935

Clinton D. Pon is a Optometrist in Elk Grove, California. Clinton D. Pon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Clinton D. Pon is 1013052935. The last update date is 2007-07-09.

Clinton D. Pon's current location address is 7119 Elk Grove Blvd Ste 123, Elk Grove, California. You can contact this provider via phone number 9164782778. The mailing address for Clinton D. Pon is 7119 Elk Grove Blvd Ste 123, Elk Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Clinton D. Pon
Address 7119 Elk Grove Blvd Ste 123, Elk Grove, California
Phone Number 9164782778
Fax Number
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1013052935
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 7119 Elk Grove Blvd Ste 123
City Elk Grove
State California (CA)
Post Code 957589568
Phone Number 9164782778
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 10257
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
SD0102570 CA --

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FAQs about Clinton D. Pon

What is the unique identifier code issued to Clinton D. Pon by the Centers for Medicare & Medicaid Services (CMS)?

The Clinton D. Pon has been assigned the NPI (National Provider Identifier) 1013052935. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Clinton D. Pon is physically located?

The Clinton D. Pon is situated at the following address: 7119 Elk Grove Blvd Ste 123, Elk Grove, CA 957589568.

What is the area of specialization for Clinton D. Pon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Clinton D. Pon is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1013052935 to Clinton D. Pon?

The Clinton D. Pon received its 1013052935 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.

When was the Clinton D. Pon's information last updated?

The Clinton D. Pon's information was last updated on 2007-07-09.

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