MR. JOSEPH EDGAR CLEMENTS III (NPI# 1366514028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366514028 |
Entity Type | Individual |
Full Name | MR. JOSEPH EDGAR CLEMENTS III |
Credential | OCULARIST |
Practice Address |
3419 S Coulter St Ste 2c Amarillo TX 79109-3998 |
Practice Telephone | 8063553401 |
Mailing Telephone | 8063553401 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477564052 | Joseph Clements | Chiropractor | 429 White Horse Pike, Atco, NJ 08004-2227 | 2006-08-10 |
1295732204 | Joseph C Clements | Urology | 1118 Ross Clark Cir, 500, Dothan, AL 36301-3001 | 2005-07-05 |
Street Address |
3419 S COULTER ST STE 2C |
City | AMARILLO |
State | TX |
Zip Code | 79109-3998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
Find all providers in zip 79109 |
Taxonomy Code | 156FX1700X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ocularist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982112280 | Chadi Kouka | Technician/Technologist | 9001 Amberglen Blvd Apt 9209, Austin, TX 78729-1133 | 2018-01-20 |
1942461629 | Rickey Earl Goerges | Technician/Technologist | 7826 Louis Pasteur Dr, San Antonio, TX 78229-3474 | 2008-06-24 |
1548312242 | Vernon Randolph Lamb | Technician/Technologist | 515 W Beauregard Ave, San Angelo, TX 76903 | 2007-01-16 |
1104907070 | Antonino A. Deleza | Technician/Technologist | 5005 Caroline St, Houston, TX 77004-5703 | 2006-10-18 |
1043247125 | William Randall Trawnik | Technician/Technologist | 4600 Greenville Ave Ste 240, Dallas, TX 75206-5037 | 2006-06-26 |
1285801035 | Matthew Earl Layton | Technician/Technologist | 3636 S Alameda St, Corpus Christi, TX 78411-1723 | 2008-05-12 |
1972790814 | Craig R. Pataky | Technician/Technologist | 4409 Medical Pkwy, Austin, TX 78756-3313 | 2007-09-25 |
1306859103 | Jean G Thompson | Technician/Technologist | 4118 Mccullough Ave, Suite 16, San Antonio, TX 78212-1979 | 2006-08-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.