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Dale S Clemens
Optician in East Syracuse, New York
NPI 1659438455

Dale S Clemens is a Optician based in East Syracuse, NY and is specialized in Optician. Dale S Clemens practices in East Syracuse, NY. The NPI Number for Dale S Clemens is 1659438455 and holds a License No. C006828 (New York).

The current practice location address for Dale S Clemens is 824 Franklin Park Dr, East Syracuse, NY and can be reached out via phone at 315-446-1288 and via fax at 315-463-2210.

Location: 824 Franklin Park Dr, East Syracuse, NY, 13057-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659438455
Provider Name
Dale S Clemens
Credential
Provider Entity Type
Individual
Gender
Male
Address
824 Franklin Park Dr, East Syracuse, NY, 13057-1614
Phone Number
315-446-1288
Fax Number
315-463-2210
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C006828 01 NY OPHTHALMIC DISPENSING LIC
NY6828 01 NY EYEMED PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
824 Franklin Park Dr
City
East Syracuse
State
New York
Zip
13057-1614
Phone Number
315-446-1288
Fax Number
315-463-2210
person
Provider Business Mailing Address Details
Address
824 Franklin Park Dr
City
East Syracuse
State
New York
Zip
13057-1614
Phone Number
315-446-1288
Fax Number
315-463-2210
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
C006828 (New York)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
C006828 (New York)
Definition
Definition to come...
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