Individual
DR. MARK E CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1342958
BLUE CROSS/BLUE SHIELD
PA
01
—
220087
UPMC
PA
01
—
243765701
UNITED HEALTHCARE
PA
01
—
2521779
AETNA HMO
PA
01
—
397168
NATIONAL VISION ADMIN.
PA
01
—
6621
DAVIS VISION
PA
01
—
7456187
AETNA PPO
PA
01
—
CL913321
CLARITY VISION
PA
01
—
PA355
VBA
PA
01
—
U82201
HEALTH AMERICA
PA
Enumeration date
11/15/2005
Last updated
10/02/2024
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