Individual
CALAH LEIGH CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2073
SC
152WP0200X
Pediatric Optometrist
2073
SC
152WS0006X
Sports Vision Optometrist
2073
SC
152WV0400X
Vision Therapy Optometrist
2073
SC
Other
Enumeration date
06/27/2018
Last updated
01/24/2022
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