| NPI | 1578625612 |
|---|---|
| Professional Name | ANDREW CLEGG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2531T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MT 620) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-09 |