Doctor Name: | DR. CLIFFORD GREGORY DUNN |
NPI Number: | 1629134820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | T005588 |
Business Practice Address: | Wal Mart Vision Center 1549 Route 9 Halfmoon, NY - 120655603 |
Business Phone Number: | 5183735756 |
Business Fax Number: | 5183735759 |
Mailing Address: | 43 Omega Ter, LATHAM |
State: | NY |
Postal Code: | 121101957 |
Phone Number: | 5187854424 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | T005588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |