Clay, Garland Willis
Clay, Garland Willis is an individual health care provider with primary practice located at 226 W Main St , Ardmore OK 73401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clay, Garland Willis can be contacted via phone (580) 223-8676.Contact Information
Primary practice address
226 W Main St
Ardmore OK 73401
Phone: (580) 223-8676
Fax: (580) 223-8677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 891 | Oklahoma |
Profile Details
| NPI number | 1447394200 |
|---|---|
| LBN Legal business name | Clay, Garland Willis |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Apr 11th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447394200 | NPPES |
| Other | 0731150001 | PALMETTO |
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