CLARENCE E. FOGLEMAN M.D. NPI 1629096243

NPI Information

NPI: 1629096243
Provider Name: CLARENCE E. FOGLEMAN, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
111 E POLK ST
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 473-8801
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Clarence E. Fogleman, M.D. is an ophthalmology in Colorado Springs, CO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Clarence E. Fogleman, M.D. NPI is 1629096243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 E POLK ST
COLORADO SPRINGS, CO
ZIP 80907-267
Phone: (719) 473-8801
Fax: (719) 473-8581

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		27918	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1279181	MEDICAID	COLORADO
2	FO30141	OTHER	COLORADO	BLUE SHIELD
3	C30141	MEDICARE PIN
4	020006928	OTHER		RR MEDICARE
5	D25015	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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