Individual
DR. TOM W CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
710 N CIRCLE DR, COLORADO SPRINGS, CO 80909-5122
(719) 632-1587
(719) 632-1563
Mailing address
710 N CIRCLE DR, COLORADO SPRINGS, CO 80909-5122
(719) 632-1587
(719) 632-1563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
867
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08008674
—
CO
Enumeration date
04/13/2006
Last updated
03/23/2016
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