Individual
DR. CLAYTON LEWIS OLESEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2923 BLAKELY DR, ORLANDO, FL 32835-6173
(561) 436-0059
Mailing address
2923 BLAKELY DR, ORLANDO, FL 32835-6173
(561) 436-0059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1108
FL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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