NPI 1407684244 · live from the CMS NPI Registry
Rebecca Clover, OD
Optometrist in Chanute, KS. National Provider Identifier 1407684244, active.
NPI record
| NPI | 1407684244 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 32 W Main St, Chanute, KS 66720 |
| Practice phone | 620-431-0010 |
| Mailing address | 401 S Highland Ave, Chanute, KS 66720 |
| Enumerated | July 23, 2024 |
| Last updated | July 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2217 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.