Provider Demographics
NPI:1932288917
Name:CLER, DAVID N (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:N
Last Name:CLER
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 1:265 LAGUNA AVE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2119
Mailing Address - Country:US
Mailing Address - Phone:949-494-1892
Mailing Address - Fax:949-497-2652
Practice Address - Street 1:265 LAGUNA AVE
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2119
Practice Address - Country:US
Practice Address - Phone:949-494-1892
Practice Address - Fax:949-497-2652
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA6884T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOP6884BMedicare PIN