Individual
DR. CLEMENT ENORENSE IDEHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
5546 MYRTLE AVE, RIDGEWOOD, NY 11385-3554
(718) 628-9200
(718) 628-5600
Mailing address
5546 MYRTLE AVE, RIDGEWOOD, NY 11385-3554
(718) 628-9200
(718) 628-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T006065
NY
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT006065
NY
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us