C. Mark Brittain OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

200001358217 Issued in NC

Legal business name

C. MARK BRITTAIN OD PA

Practice address

644 Statesville Blvd Ste 3
Salisbury, NC 28144-2281

Phone

(704) 633-8975

Fax

(704) 633-9160

NPI assigned

Apr 26, 2007

Last updated

Feb 2, 2009By 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

Clifford Mark BrittainNPI 1568411981

Title

Owner Doctor

Phone

(704) 633-8975

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Clifford Mark Brittain, OD

  • Optometrist
  • Salisbury, NC
  • NPI 1568411981
  Authorized official Same address or phone

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1245450949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD STE 3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD STE 3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442281",
            "telephone_number": "704-633-8975",
            "fax_number": "704-633-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. MARK BRITTAIN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "704-633-8975"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "200001358217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890131Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merle Rudy Busby, M.D.
• Sandra Ann Bush-Roe, GNT/ LMSW
• Graylan Dwight Byrd, ATC, PA-C
• Mark Allen Byrd, MSW
• Yolanda Meade Byrd, MSW, LCSW
• Cabarrus County Group Homes, Inc.
• Cabarrus County Group Homes, Inc.
• Cabarrus County Group Homes, Inc.
• Cabarrus County Group Homes, Inc.
• Cabarrus County Group Homes, Inc.

• Optometrist in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.