Clca INC

NPI #1396925889 in Jenks, Oklahoma

Provider Information

NPI Number: 1396925889
Entity Type: Organization
Organization Name: Clca INC
Primary Specialty: Optometrist
Enumeration Date: Nov 13, 2007
Last Updated: Apr 16, 2008

Practice Location

Address: 301 W MAIN ST
City: Jenks
State: Oklahoma
ZIP Code: 74037-3746
Phone: (918) 299-2020

Authorized Official

Name: DR. TOM VANDERPOOL, O.D.
Title: DOCTOR OF OPTOMETRY/OWNER
Phone: (918) 299-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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