Provider Demographics
NPI:1366429755
Name:MCLEAR, ROBERT N (OD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:N
Last Name:MCLEAR
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 1:133 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1401
Mailing Address - Country:US
Mailing Address - Phone:937-548-6111
Mailing Address - Fax:937-548-0893
Practice Address - Street 1:133 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1401
Practice Address - Country:US
Practice Address - Phone:937-548-6111
Practice Address - Fax:937-548-0893
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3360/T148152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000245468OtherANTHEM BC/BS
A002OtherTRI CARE FOR LIFE
341256255OtherVISION PLUS
000000245468OtherANTHEM BENEFIT ADMIN
OH0364878Medicaid
410023237OtherRAILROAD MEDICARE
2202069OtherUNITED HEALTH CARE
341256255OtherVISION PLUS
410023237OtherRAILROAD MEDICARE
OH0364878Medicaid