Provider Demographics
NPI:1851105381
Name:W REID CLUFF OD PLLC
Entity type:Organization
Organization Name:W REID CLUFF OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:REID
Authorized Official - Last Name:CLUFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-803-0700
Mailing Address - Street 1:942 CINNAMON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-7111
Mailing Address - Country:US
Mailing Address - Phone:303-803-0700
Mailing Address - Fax:
Practice Address - Street 1:1200 TOWNE CENTRE BLVD STE 11
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-5947
Practice Address - Country:US
Practice Address - Phone:303-803-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty