Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clifford Wayne Upshaw

Individual provider Optometrist · NPI 1639330350

Dr. Clifford Wayne Upshaw is an Optometrist in Tracy, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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Practice location Address checks out

3250 W Grant Line Rd
Tracy, CA 95304-8427
Phone: (209) 836-3937
Fax: (209) 836-3466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 12241T (CA)

Record details

NPI number1639330350
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 25, 2008

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