Breena Dell Clayton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3328 Issued in MN

Practice address

13650 Elder Dr
Baxter, MN 56425-8818

Phone

(218) 855-5756

Fax

(218) 855-5753

NPI assigned

Oct 7, 2009

Last updated

Mar 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Breena Dell Clayton, OD

  • Optometrist
  • Baxter, MN
  • NPI 1114341971
  Authorized official Same address or phone
• Midwest Family Eye Center

  • Optometrist
  • Baxter, MN
  • NPI 1700818341
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1235464314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 ELDER DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258818",
            "telephone_number": "218-855-5756",
            "fax_number": "218-855-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 ELDER DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258818",
            "telephone_number": "218-855-5756",
            "fax_number": "218-855-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "BREENA",
        "middle_name": "DELL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3328",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3467ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centracare Clinic (CentraCare - Baxter Clinic)
• Julie Marie Christensen, LICSW
• Karla Christensen, LADC
• Kelli Jo Christenson
• Sandra Jean Ann Christner, CHW
• Daniel B Clayton, O.D.
• Clearwaters Crosby LLC
• Brock A Clements, DPT
• Scott Cameron Close, D.C.
• Kate Coffman

• Optometrist in Baxter, MN
• Providers in Baxter, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.