MRS. DIMA IVONNE CLANTON (NPI# 1366719957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366719957 |
| Entity Type | Individual |
| Full Name | MRS. DIMA IVONNE CLANTON |
| Credential | LDO |
| Practice Address |
4166 Buford Hwy Ne Ste S6-t5 Atlanta GA 30345-1081 |
| Mailing Address |
2554 Gadsen Walk Duluth GA 30097-4349 |
| Practice Telephone | 4048553888 |
| Practice Fax Number | 4048554388 |
| Mailing Telephone | 6784171712 |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2011-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO002424 | GA | Eye and Vision Services Providers |
| Street Address |
4166 BUFORD HWY NE STE S6-T5 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588021893 | National Vision, Inc. | Technician/Technologist | 4745 Ashford Dunwoody Rd, Ste E, Atlanta, GA 30338-5570 | 2016-01-19 |
| 1922435601 | Nassar Enterprises | Technician/Technologist | 777 Cleveland Ave Sw Ste 616, Atlanta, GA 30315-7116 | 2013-09-26 |
| 1174820781 | Jerry Page | Technician/Technologist | 1075 Peachtree St Ne Ste 3650, Atlanta, GA 30309-3934 | 2011-02-16 |
| 1629222377 | Acuity Optical L.L.C. | Technician/Technologist | 2770 Dale Creek Dr. N.w., Atlanta, GA 30318-6710 | 2008-11-07 |
| 1982876421 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1801 Howell Mill Rd Nw Ste 510, Atlanta, GA 30318-0913 | 2008-03-25 |
| 1447470992 | Thomas Blair Jr. | Technician/Technologist | 862 Martin Luther King Jr Dr Sw, Atlanta, GA 30314-3642 | 2007-04-26 |
| 1578615886 | Price and Wood Opticians Inc | Technician/Technologist | 3179 Maple Dr Ne, Suite #2, Atlanta, GA 30305-2520 | 2007-01-17 |
| 1023193331 | Wal-mart Stores Texas, Lp | Technician/Technologist | 201 Loop 59, Atlanta, TX 75551-2011 | 2006-10-26 |
| 1427157825 | Wal-mart Stores East, Lp | Technician/Technologist | 1801 Howell Mill Rd. Nw, Ste. 100, Atlanta, GA 30318 | 2006-09-22 |
| 1487753000 | Sam's Club Optical | Technician/Technologist | 2901a Clairmont Rd Ne, Atlanta, GA 30329-1611 | 2006-09-21 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on MRS. DIMA IVONNE CLANTON.
| 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.