Provider Demographics
NPI:1184894800
Name:DR. CLIFF STRATTON & ASSOCIATES
Entity type:Organization
Organization Name:DR. CLIFF STRATTON & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-325-9465
Mailing Address - Street 1:8089 HIGHWAY 72 W
Mailing Address - Street 2:SUITE A
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9530
Mailing Address - Country:US
Mailing Address - Phone:256-325-9465
Mailing Address - Fax:256-325-9467
Practice Address - Street 1:8089 HIGHWAY 72 W
Practice Address - Street 2:SUITE A
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9530
Practice Address - Country:US
Practice Address - Phone:256-325-9465
Practice Address - Fax:256-325-9467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS939TA481152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5908770001Medicare NSC