DR. CLEMENT ENORENSE IDEHEN O.D NPI 1700075595

NPI Information

  • NPI: 1700075595
  • Provider Name: DR. CLEMENT ENORENSE IDEHEN, O.D
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Individual
  • Address: 5546 MYRTLE AVE
    RIDGEWOOD, NY
    ZIP 11385
  • Phone: (718) 628-9200

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NPI Details

DR. Clement Enorense Idehen, O.D is a corneal and contact management optometrist in Ridgewood, NY. The provider is 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. DR. Clement Enorense Idehen, O.D NPI is 1700075595. 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:

5546 MYRTLE AVE
RIDGEWOOD, NY
ZIP 11385-554
Phone: (718) 628-9200
Fax: (718) 628-5600

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.

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
1152W00000XOptometristT006065NEW YORKNo
2152WC0802XOptometristCorneal and Contact ManagementVUT006065NEW YORKYes

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
103424MEDICARE UPINNEW YORK

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: 11/21/2025

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