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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
225 WILMINGTON PIKE SUITE 200 |
City | CHADDS FORD |
State | PA |
Zip Code | 19317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
1780105999 | Kathleen Breslin | Clinical Neuropsychologist | 5 Christy Dr Ste 207, Chadds Ford, PA 19317 | 2017-06-28 |
1750823951 | Yildiz Omar Shah | Dentist | 8 Ponds Edge Dr Ste 2, Chadds Ford, PA 19317 | 2016-11-06 |
1477003531 | Dental Implant & Periodontal Surgeons of Maine Line, P.C. | Dentist | 107 Commons Ct, Chadds Ford, PA 19317 | 2016-10-12 |
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 |
Find all providers in zip 19317 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
1700385101 | Roxanne Merriett | Technician/Technologist | 3810 Pearson Ave, Philadelphia, PA 19114-2833 | 2018-02-12 |
Find all providers with the same taxonomy |
City | CHADDS FORD |
Zip Code | 19317 |
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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.