Organization Active NPI

Clayton Davis, OD, PLLC

  • Optometrist
  • Greenville, NC
National Provider Identifier
1023556479
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2454 Issued in NC
Legal business name
CLAYTON DAVIS, OD, PLLC
Practice address
210 SW Greenville Blvd
Greenville, NC 27834-6908
Phone
(252) 355-2441
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Clayton Davis, O.D.
Title
Owner
Phone
(737) 237-3753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2454 NC Primary

Addresses

Primary practice location

210 SW Greenville Blvd
Greenville, NC 27834-6908

Mailing address

4441 Six Forks Rd Ste 106-366
Raleigh, NC 27609-5729
Phone (737) 237-3753

National Provider Directory

National Provider Directory

Locations

4441 Six Forks Rd
Ste 106366
Raleigh, NC 27609

1229 N Brightleaf Blvd
Smithfield, NC 27577

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1023556479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 SIX FORKS RD STE 106-366",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095729",
            "telephone_number": "737-237-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW GREENVILLE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346908",
            "telephone_number": "252-355-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON DAVIS, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-237-3753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.