Active NPI
Clayton Krager
- Optometrist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 61434101
- Practice address
- 4750 N Division St # 1010
Spokane, WA 99207-1411 - Phone
- (509) 596-9879
- NPI assigned
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 61434101 | WA | Primary |
Addresses
Primary practice location
4750 N Division St # 1010
Spokane, WA 99207-1411
Mailing address
4750 N Division St # 1010
Spokane, WA 99207-1411
Other practice location 1
14700 E Indiana Ave Spc 1008
Spokane Valley, WA 99216-1841
Phone (509) 596-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 N Washington St
Spokane, WA 99201-0223
Phone (509) 747-6581
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61434101 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle Sexton, O.D., LLC | Optometrist | Current | Accepting new patients |
| Washington Eye Care Center PC | Optometrist | Current | Accepting new patients |
| Eye Care Team Inc | Optometrist | Past | Accepting new patients |
Locations
306 N Park St
Chewelah, WA 99109
Phone (509) 935-2020
3500 S Meridian
Ste 926
Puyallup, WA 98373
Phone (253) 864-9350
126 N Washington St
Ste A
Spokane, WA 99201
4750 N Division St
Ste 1010
Spokane, WA 99207
Phone (509) 596-9879
126 N Washington St
Spokane, WA 99201
Phone (509) 747-6581
14700 E Indiana Ave
Spc 1008
Spokane Valley, WA 99216
Phone (509) 596-9880
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Spokane, WA
- NPI 1871967042
-
- Optometrist
- Puyallup, WA
- NPI 1972778009
-
- Optometrist
- Spokane, WA
- NPI 1487631370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1124703384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 N DIVISION ST # 1010",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N DIVISION ST # 1010",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071411",
"telephone_number": "509-596-9879"
}
],
"practiceLocations": [
{
"address_1": "14700 E Indiana Ave Spc 1008",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992161841",
"country_code": "US",
"telephone_number": "509-596-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAGER",
"first_name": "CLAYTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "61434101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.