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Contact Information

DALE S CLEMENS
824 FRANKLIN PARK DR
EAST SYRACUSE, NY13057-1614
 Phone: 315-446-1288
 Fax: 315-463-2210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for DALE S CLEMENS · (Male)

NPI Number 1659438455
Status Active
Credentials
Entity Individual
Enumeration date 01/02/2007
Last updated 06/27/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # C006828
  • NY Other NY6828 EYEMED PROVIDER NUMBER
  • NY Other C006828 OPHTHALMIC DISPENSING LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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