Clements, Otice Neal
Clements, Otice Neal is an sole proprietor health care provider with primary practice located at 202 Ross Ave , Gillette WY 82716-3724. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clements, Otice Neal can be contacted via phone (307) 682-7337.Contact Information
Primary practice address
202 Ross Ave
Gillette WY 82716-3724
Phone: (307) 682-7337
Fax: (307) 682-1667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 100T | Wyoming |
Profile Details
| NPI number | 1972639490 |
|---|---|
| LBN Legal business name | Clements, Otice Neal |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 25th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972639490 | NPPES |
| Wyoming | Other | 0693460001 | DME |
| Wyoming | Other | 410022518 | DME |
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