Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN E CLAVADETSCHER, O.D.
ActiveDR. JOHN E CLAVADETSCHER, O.D. is a Optometrist healthcare provider located in MOUNTLAKE TERRACE, Washington. NPI 1588619670 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MOUNTLAKE TERRACE, WA
Registration Details
- NPI Number
- 1588619670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2006 (20.205579721398 yrs)
- Last Updated
- Jul 9, 2007
- License
-
3280TX (WA)
Practice Information
- Address
-
21005 44TH AVE WSUITE 102MOUNTLAKE TERRACE, WA, 980433584Browse WA providers · Browse ZIP 98043
- Phone
- 4257757144
- Fax
- 4256737885
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.