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Individual

DR. JASON C CLOPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1080 NEAL ST, STE 300, COOKEVILLE, TN 38501-4038
(931) 372-2567
(931) 372-2572
Mailing address
1080 NEAL ST, STE 300, COOKEVILLE, TN 38501-4038
(931) 372-2567
(931) 372-2572

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT2014
TN
152WP0200X
Pediatric Optometrist
ODT2014
TN
152WV0400X
Vision Therapy Optometrist
ODT2014
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3942934
TN
Enumeration date
06/10/2005
Last updated
02/13/2008
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