Individual
DR. RITA JOY CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2400 W PASEWALK AVE, NORFOLK, NE 68701-4608
(402) 371-5715
(402) 371-6152
Mailing address
2118 VERNON AVE, NORFOLK, NE 68701-2371
(402) 379-1865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2437
MN
152W00000X
Optometrist
510
SD
152W00000X
Optometrist
Primary
NE 1060
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04186
SPECTERA
NE
05
—
10025049900
—
NE
01
—
170020
DYNTEK
NE
01
—
34993
AVESIS
NE
01
—
36704
BCBS
NE
01
—
47933
DAVIS VISION
NE
01
—
550645
NVA
NE
01
—
920880
BLOCK VISION
NE
01
—
CL1415522
CLARITY VISION
NE
Enumeration date
08/30/2006
Last updated
07/08/2007
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