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Contact Information

CLINTON R MCLEAN, OD
880 BRIDGEPORT AVE
SHELTON, CT06484-4625
 Phone: 203-929-4030
 Fax: 203-929-9662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CLINTON R MCLEAN · (Male)

NPI Number 1801995543
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 904
  • CT Other 4271642 AETNA
  • CT Other 090000904CT01 ANTHEM BCBS
  • CT Other 904000-4749 CONNECTICARE
  • CT Other 0248660001 MEDICARE DMERC SUPPLIER
  • CT Other P606621 OXFORD HEALTH PLAN
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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