MR. DEVRICK JAMAL CLIETT SR.


Address: 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317
Phone: 6104271144

MR. DEVRICK JAMAL CLIETT SR. (NPI# 1316585102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316585102
Entity Type Individual
Full Name MR. DEVRICK JAMAL CLIETT SR.
Other Name MR. DEVRICK JAMAL CLIETT SR.
Credential OPTICIAN OWNER
Practice Address 225 Wilmington Pike
Suite 200
Chadds Ford
PA 19317
Mailing Address 207 E Parkway Ave
Chester
PA 19013-4610
Practice Telephone 6104271144
Mailing Telephone 2157963434
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 225 WILMINGTON PIKE
SUITE 200
City CHADDS FORD
State PA
Zip Code 19317

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1891277620 Donald C. Cameron General Practice 718 Kennett Pike, Chadds Ford, PA 19317 2018-08-29
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1528434495 Judith Js Ochs Pediatrics 1213 Fairville Road, Chadds Ford, PA 19317 2015-08-14
1700294626 Gabrielle Van Heest Behavioral Analyst 920 Baltimore Pike, Chadds Ford, PA 19317 2014-07-23
1497199483 Jill Pagliei LLC Chiropractor 220 Wilmington Pike, Suite 4, Chadds Ford, PA 19317 2013-04-22
1285832543 Kevin Sperling Internal Medicine 601 Chadds Ford Drive, Suite 100, Chadds Ford, PA 19317 2007-07-10
1164554804 Lee Anderson Psychologist 260 Kennett Pike, Chadds Ford, PA 19317 2007-03-09
1629120571 Robert George Tsaganos Dentist 225 Wilmington-west Chester Pike, Suite 102, Chadds Ford, PA 19317 2007-01-18
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1619469673 National Vision, Inc. Technician/Technologist 1265 Knapp Rd, North Wales, PA 19454-1831 2018-06-05
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Competitor

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City CHADDS FORD
Zip Code 19317

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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