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Contact Information

CLED T CLICK, OD
315 N 3RD AVE
CLAYTON, NM88415-3300
 Phone: 575-374-2533
 Fax: 575-374-2533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CLED T CLICK · (Male)

NPI Number 1922011410
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/14/2006
Last updated 01/18/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 198
  • TX License # 1942
  • NM Medicaid 94851069
  • TX Medicaid 0196032-02
  • NM Other P00336378 RAILROAD MEDICARE
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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