Clinton Runnells Mclean O.D.

NPI 1801995543 - Optometrist - 152W00000X

NPI Details
NPI 1801995543
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
880 BRIDGEPORT AVE
SHELTON CT, 06484-4625, US
Phone (203) 929-4030
Fax (203) 929-9662
Business Location
880 BRIDGEPORT AVE
SHELTON CT, 06484-4625, US
Phone (203) 929-4030
Fax (203) 929-9662
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number 904
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According to our database, Dr. Clinton Runnells Mclean O.D. NPI is 1801995543, taxonomy code is 152W00000X and license number is 904, license state is located at Connecticut. Clinton Runnells Mclean O.D. physically located at 880 Bridgeport Ave, Shelton CT, 06484-4625. NPI Number Clinton Runnells Mclean O.D. has the Individual type.

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1801995543 NPI number is provided on an as is basis without warranty of any kind. 1801995543 is maintained by the National Plan & Provider Enumeration System. The contents of Clinton Runnells Mclean O.D. are for informational purposes only.