Provider Demographics
NPI:1003175944
Name:CLYMER, MOLLY ANN RENE (OD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY ANN
Middle Name:RENE
Last Name:CLYMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MOLLY ANN
Other - Middle Name:RENE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:250 FAME AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1576
Mailing Address - Country:US
Mailing Address - Phone:717-637-1919
Mailing Address - Fax:717-637-2326
Practice Address - Street 1:250 FAME AVE STE 225
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1576
Practice Address - Country:US
Practice Address - Phone:717-524-1411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-13
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002477152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist