1598735573 NPI number — DR. ELIZABETH BESSIE CLUFF O.D.

Table of content: DR. ELIZABETH BESSIE CLUFF O.D. (NPI 1598735573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598735573 NPI number — DR. ELIZABETH BESSIE CLUFF O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CLUFF
Provider First Name:
ELIZABETH
Provider Middle Name:
BESSIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598735573
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 E MAIN ST
Provider Second Line Business Mailing Address:
ASHLEY PLAZA
Provider Business Mailing Address City Name:
MIDDLETOWN
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19709-1491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-378-8818
Provider Business Mailing Address Fax Number:
302-378-2371

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 E MAIN ST
Provider Second Line Business Practice Location Address:
ASHLEY PLAZA
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19709-1491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-378-8818
Provider Business Practice Location Address Fax Number:
302-378-2371
Provider Enumeration Date:
01/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  I3-1235 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000846309 . This is a "AMERIHEALTH PPO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 000869322 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06083 . This is a "SPECTERA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 5029574 . This is a "AETNA PPO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 891426 . This is a "BLOCK VISION INC" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 2107688 . This is a "AETNA HMO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 410041960 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 47514 . This is a "COVENTRY HEALTHCARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 510384278 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 5456788 . This is a "CIGNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 775987 . This is a "MAMSI" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 116771 . This is a "EYEMED VISION" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 510384278 . This is a "MID-ATLANTIC HEALTH PLAN" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 0774451000 . This is a "AMERIHEALTH HMO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 510384378 . This is a "TEAMSTERS HEALTH & WELFAR" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 39755-000 . This is a "DAVIS VISION" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 510384278 . This is a "DEVON" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 510384278 . This is a "SUPERIOR VISION" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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