Provider Demographics
NPI:1720272164
Name:CLAY, SARAH E (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:CLAY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73402-1848
Mailing Address - Country:US
Mailing Address - Phone:580-223-8676
Mailing Address - Fax:580-223-8677
Practice Address - Street 1:226 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-6316
Practice Address - Country:US
Practice Address - Phone:580-223-8676
Practice Address - Fax:580-223-8677
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2517152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist