Claremore Vision Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2009 Issued in OK

Legal business name

CLAREMORE VISION CENTER, INC

Practice address

421 N Lynn Riggs Blvd
Claremore, OK 74017-5617

Phone

(918) 343-7300

Fax

(918) 343-7337

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Alan Clifton, O.D.NPI 1912092727

Title

President

Phone

(918) 343-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Alan Clifton, O.D.

  • Optometrist
  • Claremore, OK
  • NPI 1912092727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1407028103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175617",
            "telephone_number": "918-343-7300",
            "fax_number": "918-343-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175617",
            "telephone_number": "918-343-7300",
            "fax_number": "918-343-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMORE VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-343-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claremore Public Schools
• Claremore Regional Hospital LLC
• Claremore Regional Hospital LLC
• Claremore Regional Hospital LLC
• Claremore Surgeons, Inc
• Allison Nicole Clark
• Cassie Dawn Clark
• Ethan Clark, DC
• Megan Clark
• Susan March Clark, PRSS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.