Clifton, Bruce Alan

Clifton, Bruce Alan is an sole proprietor health care provider with primary practice located at 421 N Lynn Riggs Blvd , Claremore OK 74017-5617. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clifton, Bruce Alan can be contacted via phone (918) 343-7300.

Contact Information

Primary practice address
421 N Lynn Riggs Blvd Claremore OK 74017-5617
Fax: (918) 343-7337
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2009 Oklahoma

Profile Details

NPI number 1912092727
LBN Legal business name Clifton, Bruce Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Dec 4th, 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 1912092727 NPPES
Oklahoma MEDICAID 100765080A

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