Provider Demographics
NPI:1801403803
Name:CLAYTON PAWLAK OD, PLLC
Entity Type:Organization
Organization Name:CLAYTON PAWLAK OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWLAK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-943-3606
Mailing Address - Street 1:2471 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6853
Mailing Address - Country:US
Mailing Address - Phone:954-943-3606
Mailing Address - Fax:954-943-3569
Practice Address - Street 1:2471 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6853
Practice Address - Country:US
Practice Address - Phone:954-943-3606
Practice Address - Fax:954-943-3569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty