Provider Demographics
NPI:1073207403
Name:KEPLINGER, CLIFTON ORVAL JR
Entity Type:Individual
Prefix:
First Name:CLIFTON
Middle Name:ORVAL
Last Name:KEPLINGER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 JOHN WAYLAND HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4509
Mailing Address - Country:US
Mailing Address - Phone:540-438-0982
Mailing Address - Fax:540-438-0723
Practice Address - Street 1:2160 JOHN WAYLAND HWY
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-4509
Practice Address - Country:US
Practice Address - Phone:540-438-0982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101002844156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician