Provider Demographics
NPI:1952372401
Name:SILVERMAN, CLIFFORD (OD)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:
Last Name:SILVERMAN
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 1:42220 10TH ST W STE 105
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-7075
Mailing Address - Country:US
Mailing Address - Phone:661-945-9883
Mailing Address - Fax:661-726-2898
Practice Address - Street 1:42220 10TH ST W STE 105
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7075
Practice Address - Country:US
Practice Address - Phone:661-945-9883
Practice Address - Fax:661-726-2898
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8588152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0085880Medicaid
CAWOP8588CMedicare PIN
CAT70274Medicare UPIN