Provider Demographics
NPI:1134442973
Name:CLUNES, LINDSAY CHARLES (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:CHARLES
Last Name:CLUNES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 VALLEY RIVER CTR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2151
Mailing Address - Country:US
Mailing Address - Phone:541-342-2671
Mailing Address - Fax:
Practice Address - Street 1:300 VALLEY RIVER CTR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2151
Practice Address - Country:US
Practice Address - Phone:541-342-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2290ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist