Clyde M. Fenton, O.D.

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

Organization subpart

No

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

Authorized official

Name

Dr. Clyde M Fenton

Title

Owner

Phone

(740) 353-5351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Todd Kallner, O.D.

  • Optometrist
  • Portsmouth, OH
  • NPI 1225199607
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION B",
            "identifier": "0544680001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Cline
• Kellie Suzanne Cline, LPN
• Rhonda Cline, CDCA
• Ronald Cline Sr.
• Sabrina Ann Cline
• Mackenzie Coakley
• Robert Coakley
• Amber Cochran
• Natassia Coe
• Taylor Coe, CDCA

• Optometrist in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Optometrist in Ohio

• 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.