Provider Demographics
NPI:1730148198
Name:STRATTON, CLIFFORD LEE (OD)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:LEE
Last Name:STRATTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 MILL CREEK XING
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-7206
Mailing Address - Country:US
Mailing Address - Phone:205-567-0739
Mailing Address - Fax:
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
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS939TA481152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1730148198OtherNPI
AL1730148198OtherNPI