| Doctor Name: | MR. CLINTON A. ALUISE |
| NPI Number: | 1033294251 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | A.B.O.C. |
| License Number: | 05717 |
| Business Practice Address: | 618 Walnut Ave Grand Junction, CO - 815017400 |
| Business Phone Number: | 9702448665 |
| Business Fax Number: | 9702446995 |
| Mailing Address: | 2442 Gunnison Ave, GRAND JUNCTION |
| State: | CO |
| Postal Code: | 815017948 |
| Phone Number: | 9702448480 |
| Fax Number: | 9702446995 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 05717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |