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Contact Information

TOM W CLYDE, OPTOMETRIST
710 N CIRCLE DR
COLORADO SPRINGS, CO80909-5122
 Phone: 719-632-1587
 Fax: 719-632-1563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TOM W CLYDE · (Male)

NPI Number 1104880434
Status Active
Credentials OPTOMETRIST
Entity Individual
Enumeration date 04/13/2006
Last updated 03/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 867
  • CO Medicaid 08008674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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