Provider Demographics
NPI:1235174897
Name:UELNER, TIFFANY CLEPPER (OD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:CLEPPER
Last Name:UELNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18291 N PIMA RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5697
Mailing Address - Country:US
Mailing Address - Phone:480-515-2727
Mailing Address - Fax:480-515-2747
Practice Address - Street 1:18291 N PIMA RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5697
Practice Address - Country:US
Practice Address - Phone:480-515-2727
Practice Address - Fax:480-515-2747
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1375152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1235174897OtherNPI
AZ1235174897OtherNPI