Mclean, Clinton Runnells

Mclean, Clinton Runnells is an sole proprietor health care provider with primary practice located at 880 Bridgeport Ave , Shelton CT 06484-4625. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mclean, Clinton Runnells can be contacted via phone (203) 929-4030.

Contact Information

Primary practice address
880 Bridgeport Ave Shelton CT 06484-4625
Fax: (203) 929-9662
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 904 Connecticut

Profile Details

NPI number 1801995543
LBN Legal business name Mclean, Clinton Runnells
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801995543 NPPES
Connecticut Other 090000904CT01 ANTHEM BCBS
Connecticut Other 904000-4749 ANTHEM BCBS
Connecticut Other 4271642 ANTHEM BCBS
Connecticut Other 0248660001 ANTHEM BCBS
Connecticut Other P606621 ANTHEM BCBS

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