NPIMap

Organization Active NPI

Clyde M. Fenton, O.D.

  • Optometrist
  • Portsmouth, OH
National Provider Identifier
1457513871
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLYDE M. FENTON, O.D.
Practice address
2002 Robinson Ave
Portsmouth, OH 45662-3650
Phone
(740) 353-5351
NPI assigned
Jun 26, 2008
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Clyde M FentonNPI 1104987007
Title
Owner
Phone
(740) 353-5351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2002 Robinson Ave
Portsmouth, OH 45662-3650

Mailing address

2002 Robinson Ave
Portsmouth, OH 45662-3650
Phone (740) 353-5351

National Provider Directory

National Provider Directory

Locations

2002 Robinson Ave
Portsmouth, OH 45662
Phone (740) 353-5351

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1457513871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ROBINSON AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623650",
            "telephone_number": "740-353-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ROBINSON AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623650",
            "telephone_number": "740-353-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE M. FENTON, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-353-5351",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.