Organization Active NPI

Clayton Eye Clinic Optometry PA

  • Optometrist
  • Clayton, NC
National Provider Identifier
1073558128
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1092 Issued in NC
Legal business name
CLAYTON EYE CLINIC OPTOMETRY PA
Practice address
11391 US Highway 70 W
Clayton, NC 27520-2205
Phone
(919) 553-5600
Fax
(919) 553-6707
NPI assigned
Jun 20, 2006
Last updated
Jun 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Phillip Dean Strickland, ODNPI 1740273002
Title
Owner/Doctor
Phone
(919) 553-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1092 NC Primary

Addresses

Primary practice location

11391 US Highway 70 W
Clayton, NC 27520-2205

Mailing address

11391 US Highway 70 W
Clayton, NC 27520-2205
Phone (919) 553-5600

Other identifiers 1

IdentifierTypeStateIssuer
8909156MedicaidNC

National Provider Directory

National Provider Directory

Locations

11391 US Highway 70 Bus W
Clayton, NC 27520
Phone (919) 553-5600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1073558128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11391 US HIGHWAY 70 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202205",
            "telephone_number": "919-553-5600",
            "fax_number": "919-553-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11391 US HIGHWAY 70 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202205",
            "telephone_number": "919-553-5600",
            "fax_number": "919-553-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON EYE CLINIC OPTOMETRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "919-553-5600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.