Individual
DR. PAUL A CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2901 E COLLEGE AVE, SUITE 976, STATE COLLEGE, PA 16801-7577
(814) 234-3047
(814) 238-0898
Mailing address
PO BOX 425A, DU BOIS, PA 15801-0425
(814) 771-6353
(814) 238-0898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000756
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005458970007
—
PA
01
—
OEG000756
LICENSE
PA
Enumeration date
10/19/2005
Last updated
03/07/2023
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