Tom Clyde (NPI# 1104880434, PAC ID# 5991896649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104880434 |
| PAC ID by PECOS | 5991896649 |
| Professional Enrollment ID | I20120206000431 |
| Full Name | Tom Clyde |
| Organization Legal Name | T W CLYDE PROFESSIONAL CORPORATION |
| Address |
710 N Circle Dr Colorado Spgs CO 80909-5122 |
| Phone Number | 7196321587 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1973 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4183691272 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 710 N Circle Dr, Colorado Spgs, CO 80909-5122 | 7196321587 | T W CLYDE PROFESSIONAL CORPORATION |
| Organization Legal Name | T W CLYDE PROFESSIONAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trisha Marie Fournier | Optometry | T W Clyde Professional Corporation | 710 N Circle Dr, Colorado Spgs, CO 80909-5122 |
| Street Address |
710 N CIRCLE DR |
| City | COLORADO SPGS |
| State | CO |
| Zip | 80909-5122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Jost | Optometry | Jason Jost Od PC | 710 N Circle Dr, Colorado Spgs, CO 80909-5122 |
| Kristen Renee Worthen | Optometry | Jason Jost Od PC | 710 N Circle Dr, Colorado Spgs, CO 80909-5122 |
| Trisha Marie Fournier | Optometry | T W Clyde Professional Corporation | 710 N Circle Dr, Colorado Spgs, CO 80909-5122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen K Underwood | Psychologist, Clinical | 2815 N Chelton Rd, Colorado Springs, CO 80909-1009 | |
| Cathleen L Oneill | Clinical Social Worker | Dr Horgan and Associates LLC | 2719 N Union Boulevard, Colorado Springs, CO 80909-1145 |
| Catherine Noelle O Shea | Gastroenterology | Assoc In Gastroenterology, PC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Elizabeth A Gramith | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Colorado Springs, LLC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Courtney Furcini Frerichs | Physician Assistant | Assoc In Gastroenterology, PC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Michael James Baker | Gastroenterology | Assoc In Gastroenterology, PC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Karin Barbara Cesario | Gastroenterology | Assoc In Gastroenterology, PC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Bryan Kavanaugh | Gastroenterology | Assoc In Gastroenterology, PC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Dalette A Carlson | Certified Registered Nurse Anesthetist (crna) | Epix Anesthesia of Colorado Springs, LLC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| William W Lunt | Gastroenterology | Assoc In Gastroenterology, PC | 2940 N Circle Dr, Colorado Springs, CO 80909-1160 |
| Find all physicians in zip 80909 | |||
| City | COLORADO SPGS |
| Zip Code | 80909 |
| Specialty | OPTOMETRY |
| City + Specialty | COLORADO SPGS + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.