Clyde M. Fenton, O.D.

LBN: Clyde M. Fenton, O.D.
Clyde M. Fenton, O.D. is an health care organization with primary practice located at 2002 Robinson Ave , Portsmouth OH 45662-3650. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Clyde M. Fenton, O.D. can be contacted via phone (740) 353-5351, or through Fenton, Clyde M via phone (740) 353-5351.

Contact Information

Primary practice address
2002 Robinson Ave Portsmouth OH 45662-3650
Phone: (740) 353-5351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fenton, Clyde M
Phone: (740) 353-5351

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1457513871
LBN Legal business name Clyde M. Fenton, O.D.
DBA Doing business as
Authorized official Fenton, Clyde M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Dec 15th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457513871 NPPES
Ohio Other 0544680001 DMERC REGION B

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