Individual provider · Type 1 NPI
Clement Enorense Idehen, O.D
Corneal and Contact Management Optometrist · Ridgewood, NY
Practice location
5546 Myrtle Ave
Ridgewood, NY 11385-3554
Fax (718) 628-5600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | T006065 (NY) |
| Corneal and Contact Management Optometrist Primary | 152WC0802X | VUT006065 (NY) |
Corneal and Contact Management Optometrist: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Another provider at this address
About NPI 1700075595
Clement Enorense Idehen, O.D's National Provider Identifier is 1700075595, issued on Oct 17, 2007. The primary taxonomy on file is Corneal and Contact Management Optometrist (152WC0802X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 17, 2007.