NPI 1225087943

Clarence David Vesely, OD

Practitioner Optometrist Apo, AE

Practice location

Address: Landstuhl Regional Medical Center Cmr 402, Box 2078, Apo, AE 09180
Phone: 011496371868532
Mailing address: Cmr 402 Box 2078, Apo, AE 09180

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3098 (WA)

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Registry record

NPI: 1225087943
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2006
Record last updated: 1 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.