Individual provider Active NPI

Clay James Connolly, OD

  • Optometrist
  • Brighton, MI
National Provider Identifier
1033649231
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005063 Issued in MI
Practice address
7329 Grand River Rd
Brighton, MI 48114-9348
Phone
(810) 474-3937
Fax
(810) 474-3940
NPI assigned
Jun 20, 2017
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005063 MI Primary

Addresses

Primary practice location

7329 Grand River Rd
Brighton, MI 48114-9348

Mailing address

7329 Grand River Rd
Brighton, MI 48114-9348
Phone (810) 474-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710000898 MI Practitioner - Optometry 5395014294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert T Clark MD PCGroup PAC ID 7810890738, 3 clinicians

Practice addresses (Care Compare)

7329 Grand River Rd
Brighton, MI 48114-9348
Phone (810) 474-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as group
Quality
90.74
Improvement activities
40
Cost
75.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Vision Institute PLLC Optometrist CurrentSince Dec 4, 2018 Accepting new patients
Robert T Clark MD PC Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

7329 Grand River Rd
Brighton, MI 48114
Phone (810) 474-3937

7575 Grand River Rd
Ste 111
Brighton, MI 48114
Phone (810) 844-7744

5300 Gateway Ctr
Flint, MI 48507
Phone (810) 720-9111

Interoperability endpoints

  • Direct secure messaging: drconnolly@clarkeye.direct.eyemdemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1033649231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149348",
            "telephone_number": "810-474-3937",
            "fax_number": "810-474-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149348",
            "telephone_number": "810-474-3937",
            "fax_number": "810-474-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "CLAY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.