Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Clement Enorense Idehen, OD

Individual provider Optometrist · NPI 1700075595

Dr. Clement Enorense Idehen, OD is an Optometrist in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5546 Myrtle Ave
Ridgewood, NY 11385-3554
Phone: (718) 628-9200
Fax: (718) 628-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence VUT006065 (NY)
Optometrist Taxonomy 152W00000X · Licence T006065 (NY)

Record details

NPI number1700075595
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 17, 2007
Last updated in NPPESOctober 17, 2007

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