Ckodre, Clayton K

Ckodre, Clayton K is an sole proprietor health care provider with primary practice located at 20630 State Highway 46 W Ste 120 , Spring Branch TX 78070-6855. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Ckodre, Clayton K can be contacted via phone (830) 980-3306.

Contact Information

Primary practice address
20630 State Highway 46 W Ste 120 Spring Branch TX 78070-6855
Phone: (830) 980-3306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4442TG Texas
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4442TG Texas

Profile Details

NPI number 1972514008
LBN Legal business name Ckodre, Clayton K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Feb 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972514008 NPPES
Texas MEDICAID 019316101

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