IndividualActive
Clark Deshon, O.D., F.A.A.O
NPI 1861482309 · Optometrist · Olney, IL
Provider details
- NPI number
- 1861482309
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D., F.A.A.O
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046008793 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
303 E Main St
Olney, IL 62450
Phone: (618) 395-2676
Fax: (618) 395-2720
Approximate (ZIP-level) locationGet directions
Mailing address
303 E Main St
Olney, IL 62450-2117
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2018-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.