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Contact Information

SHANE L CLABORN, OD
4250 NW CACHE RD
LAWTON, OK73505-3606
 Phone: 580-248-0061
 Fax: 580-248-0074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHANE L CLABORN · (Male)

NPI # 1962667055
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/28/2008
Last updated 12/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2552
  • OK Medicaid 200208350A
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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