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Clyde M. Fenton, O.D.

Optometrist in Portsmouth, OH. Organization (NPI-2).

NPI number1457513871
StatusActive
Last updated in NPPESDec 15, 2015

Details

NPI
1457513871
Entity type
Organization (NPI-2)
Legal business name
Clyde M. Fenton, O.D.
Organization subpart
No
Enumeration date
Jun 26, 2008
Last updated
Dec 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

2002 Robinson Ave
Portsmouth, OH 45662-3650

Phone 740-353-5351

Mailing address

2002 Robinson Ave
Portsmouth, OH 45662-3650

Phone 740-353-5351

Authorized official

Clyde M Fenton
Owner
7403535351

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