Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLEMENT ENORENSE IDEHEN, O.D
Active Sole ProprietorDR. CLEMENT ENORENSE IDEHEN, O.D is a Corneal & Contact Management Optometrist healthcare provider located in RIDGEWOOD, New York. NPI 1700075595 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · RIDGEWOOD, NY
Registration Details
- NPI Number
- 1700075595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2007 (18.857570948917 yrs)
- Last Updated
- Oct 17, 2007
- Licenses
-
T006065 (NY)VUT006065 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5546 MYRTLE AVERIDGEWOOD, NY, 113853554Browse NY providers · Browse ZIP 11385
- Phone
- 7186289200
- Fax
- 7186285600
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
- Additional Specialty
- Corneal & Contact Management Optometrist
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.