MRS. DIMA IVONNE CLANTON LDO NPI 1366719957

NPI Information

NPI: 1366719957
Provider Name: MRS. DIMA IVONNE CLANTON, LDO
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
4166 BUFORD HWY NE STE S6-T5
ATLANTA, GA
ZIP 30345
Phone: (404) 855-3888
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MRS. Dima Ivonne Clanton, LDO is an optician technician technologist in Atlanta, GA. MRS. Dima Ivonne Clanton, LDO NPI is 1366719957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4166 BUFORD HWY NE STE S6-T5
ATLANTA, GA
ZIP 30345-081
Phone: (404) 855-3888
Fax: (404) 855-4388

The enumeration date for this NPI number is 11/26/2011 and was last updated on 11/26/2011.

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	156FX1800X	Technician/Technologist	Optician	LDO002424	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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