Clca Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CLCA INC

Doing business as

Jenks Vision Center

Practice address

301 W Main St
Jenks, OK 74037-3746

Phone

(918) 299-2020

Fax

(918) 298-0198

NPI assigned

Nov 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tom Vanderpool, O.D.

Title

Doctor of Optometry/Owner

Phone

(918) 299-2020

Specialties & licenses 1

Addresses

Other names 1

• Jenks Vision Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1396925889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373746",
            "telephone_number": "918-299-2020",
            "fax_number": "918-298-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373746",
            "telephone_number": "918-299-2020",
            "fax_number": "918-298-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "VANDERPOOL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY/OWNER",
        "authorized_official_telephone_number": "918-299-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenks Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kylee Jane Collier, PTA

• Optometrist in Jenks, OK
• Providers in Jenks, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.