# CLAREMONT EYE ASSOCIATES MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306003389
- **Authorized official:** DR. JOHN J MCDERMOTT III MD (GENERAL PARTNER)
- **Authorized official phone:** (909) 624-8077

## Contact information

- **Practice address:** 655 E FOOTHILL BLVD, CLAREMONT, CA 91711-3511
- **Practice address phone:** (909) 624-8077
- **Practice address fax:** (909) 624-1467
- **Mailing address:** 655 E FOOTHILL BLVD, CLAREMONT, CA 91711-3511
- **Mailing address phone:** (909) 624-8077
- **Mailing address fax:** (909) 624-1467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1438533 | — | CA |
| 05 | — | 4172332 | — | CA |