BARRY ANDREW CLEGG


Address: 2352 Poplar Dr, Medford, OR 97504-5297
Phone: 5417722895

BARRY ANDREW CLEGG (NPI# 1578625612) 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) 1578625612
Entity Type Individual
Full Name BARRY ANDREW CLEGG
Other Name ANDREW CLEGG
Credential O.D.
Practice Address 2352 Poplar Dr
Medford
OR 97504-5297
Mailing Address Po Box 1555
Jacksonville
OR 97530-1555
Practice Telephone 5417722895
Practice Fax Number 5417720531
Mailing Telephone 5417722895
Mailing Fax Number 5417720531
Enumeration Date 2006-12-14
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 620 MT Eye and Vision Services Providers
Y 152W00000X Optometrist 2531T OR Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 075965 05

Office Location

Street Address 2352 POPLAR DR
City MEDFORD
State OR
Zip Code 97504-5297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821295023 Shandell Wingler Technician/Technologist 2352 Poplar Dr, Medford, OR 97504-5297 2007-06-29

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NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417339359 Angela Marie Dedionisio Optometrist 38 Rossanley Dr, Medford, OR 97501 2015-06-28
1508243239 Bastian Eyecare Professionals Optometrist 12 Revere Pl, Medford, MA 02155-3903 2015-05-01
1700216090 All Eye Care At Davis, Inc Optometrist 63 Station Lndg, Att. Dr Dzenana Idrizovic, Medford, MA 02155-5192 2013-11-22
1518246883 Yan Lu Optometrist 278 Middlesex Ave, Medford, MA 02155-5066 2011-08-04
1821307182 Diane Marie Shaver Optometrist 1600 N Riverside Ave Unit 2027, Medford, OR 97501-4665 2010-10-04
1659491777 Stephen Allen Barnes Optometrist 3639 Crater Lake Hwy, Medford, OR 97504-9259 2007-03-30
1700916251 Wayne Leroy Knight Optometrist 120 Route 70, Medford, NJ 08055-9504 2007-03-06
1477692655 Kimberly Tischner Optometrist 73 S Main Street, Medford, NJ 08055 2007-02-05
1164589230 Steven Paul Mullins Optometrist 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 2007-01-02
1083786644 Douglas Guy Smith Optometrist 585 Murphy Rd, Medford, OR 97504-8128 2006-11-15
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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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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