Individual
DR. LINDSEY MICHELLE CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1111 E NORTHERN AVE, SUITE B, PHOENIX, AZ 85020-4188
(602) 242-6888
(602) 242-4654
Mailing address
1111 E NORTHERN AVE, SUITE B, PHOENIX, AZ 85020-4188
(602) 242-6888
(602) 242-4654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1522
AZ
152W00000X
Optometrist
2497
CO
152WP0200X
Pediatric Optometrist
1522
AZ
152WP0200X
Pediatric Optometrist
2497
CO
152WS0006X
Sports Vision Optometrist
1522
AZ
152WS0006X
Sports Vision Optometrist
2497
CO
156FC0801X
Contact Lens Fitter
1522
AZ
Other
Enumeration date
03/24/2006
Last updated
07/02/2014
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