National Provider Identifier
Kevin William Clogg, O.D.
Kevin William Clogg, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 328-0153.
Profile Overview
- NPI
- 1568762995
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- November 02, 2010
- Last Updated
- November 02, 2010
Practice Location
- 2300 Buffalo RD
- Bldg 700
- Rochester, NY 14624-1367
Phone: (585) 328-0153
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1568762995
- Entity Type
- Individual
- Last Name
- Clogg
- First Name
- Kevin
- Middle Name
- William
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 2300 Buffalo RD
- Mailing Address Line 2
- Bldg 700
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1367
- Mailing Country
- US
- Mailing Phone
- (585) 328-0153
- Mailing Fax
- (585) 328-0158
- Practice Street Address
- 2300 Buffalo RD
- Practice Address Line 2
- Bldg 700
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1367
- Practice Country
- US
- Practice Phone
- (585) 328-0153
- Practice Fax
- (585) 328-0158
- Enumeration Date
- November 02, 2010
- Last Updated
- November 02, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)