National Provider Identifier Database

CLARK E DESHON, O.D., F.A.A.O – NPI #1861482309
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

CLARK E DESHON, O.D., F.A.A.O
303 E MAIN ST
OLNEY, IL62450
Phone: 618-395-2676
Fax: 618-395-2720
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CLARK E DESHON

NPI Number 1861482309
Credentials O.D., F.A.A.O
Entity Individual
Enumeration date 10/26/2005
Last updated 08/31/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 046008793
  • IL Medicaid: 046008793
  • IL Other: 5290131 AETNA
  • IL Other: 09327152 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

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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