DR. CLEMENT ENORENSE IDEHEN O.D
NPI 1700075595
Optometrist - Corneal and Contact Management in Ridgewood, NY

Active since October 17, 2007
5546 MYRTLE AVE, RIDGEWOOD, NY 11385(718) 628-9200(718) 628-5600 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clement Enorense Idehen O.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLEMENT ENORENSE IDEHEN O.D (NPI 1700075595) is an individual corneal and contact management provider in Ridgewood, New York, licensed in New York (VUT006065) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1700075595
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. CLEMENT ENORENSE IDEHENCredential: O.D
Location Address5546 MYRTLE AVERidgewood, NY 11385-3554
Mailing Address5546 Myrtle AveRidgewood, NY 11385-3554 · (718) 628-9200 · Fax (718) 628-5600
Fax(718) 628-5600
Sole ProprietorYes
Enumeration DateOctober 17, 2007
NPI 1700075595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in NY · VUT006065
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License T006065 (NY)
5546 MYRTLE AVE, Ridgewood, NY 11385

Other Identifiers 1

Medicare UPIN03424NY

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
5546 MYRTLE AVE
RIDGEWOOD, NY 11385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clement Idehen's NPI number?

The NPI number for Clement Idehen is 1700075595. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Clement Idehen located?

Clement Idehen practices at 5546 Myrtle Ave, Ridgewood, NY 11385. The listed phone number is (718) 628-9200.

What is Clement Idehen's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

What insurance does Clement Idehen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Clement Idehen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clement Idehen was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.