Dr G W Clay P C

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

891 Issued in OK

Legal business name

DR G W CLAY P C

Practice address

226 W Main St
Ardmore, OK 73401-6316

Phone

(580) 223-8676

Fax

(580) 223-8677

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Garland W Clay Jr., O.D.

Title

Optometrist/Owner

Phone

(580) 223-8676

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah E Clay, OD

  • Optometrist
  • Ardmore, OK
  • NPI 1720272164
  NPD

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1164684833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016316",
            "telephone_number": "580-223-8676",
            "fax_number": "580-223-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016316",
            "telephone_number": "580-223-8676",
            "fax_number": "580-223-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR G W CLAY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "GARLAND",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "580-223-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447394200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Eyewear Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.