Clark Edward Deshon, O.D., F.A.A.O
Optometrist · Olney, IL
Practice location
303 E Main StOlney, IL 62450
- Phone
- (618) 395-2676
- Fax
- (618) 395-2720
NPI record
- NPI
- 1861482309
- Entity type
- Individual (Type 1)
- Enumeration date
- October 26, 2005
- Last updated
- August 31, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
046008793 | IL |
Mailing address
303 E Main StOlney, IL 62450-2117
- Phone
- (618) 395-2676
- Fax
- (618) 395-2720
About Dr. Deshon
Clark Edward Deshon, O.D., F.A.A.O is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 303 E Main St, Olney, IL 62450. The NPI number 1861482309 was assigned on October 26, 2005 and the record was last updated on August 31, 2018.
Dr. Deshon lists a license in the registry: #046008793 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Clark Edward Deshon, O.D., F.A.A.O?
The NPI number is 1861482309.
What is the phone number of Dr. Deshon?
The phone number listed for the practice location is (618) 395-2676.
Where is Dr. Deshon located?
303 E Main St, Olney, IL 62450.
What is the taxonomy code for Dr. Deshon?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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