Individual
DR. ROBERT A. MCCLENATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000699
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG000699
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG000699
STATE LICENSE
PA
Enumeration date
04/03/2006
Last updated
10/23/2009
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