Clyson, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CLYSON, PC

Doing business as

Gregory Optical

Practice address

904 N Wisner St
Jackson, MI 49202-3144

Phone

(517) 782-9388

Fax

(517) 782-9018

NPI assigned

Sep 9, 2005

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Swartzlander

Title

Business Manager

Phone

(517) 782-9388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gregory Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clyson P.C.

  • Corneal and Contact Management Optometrist
  • Jackson, MI
  • NPI 1447422126

  O20041109000745

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cliff J Carter, O.D.

  • Corneal and Contact Management Optometrist
  • Jackson, MI
  • NPI 1962505065
  Medicare reassignment
• Paige Parkhurst Franssen, OD

  • Optometrist
  • Ann Arbor, MI
  • NPI 1962070292
  Medicare reassignment

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1063406510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N WISNER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023144",
            "telephone_number": "517-782-9388",
            "fax_number": "517-782-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N WISNER ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023144",
            "telephone_number": "517-782-9388",
            "fax_number": "517-782-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "SWARTZLANDER",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "517-782-9388"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "540C810940",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Clemons
• Shannan Marie Clevenger, LBSW
• Mary Jane Clevidence
• Barbara Cliffe-Miller, DPT
• Clyson P.C.
• Sarah Coatsworth
• Eric Christopher Coburn
• Katrina Mavis Coburn, RDH
• Sandra Cochran
• Valerie Jean Cofer

• Eyewear Supplier in Jackson, MI
• Providers in Jackson, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.