Active NPI
Calah Leigh Clayton, OD
- Optometrist
- Belmont, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2073
- Practice address
- 111 S Main St
Belmont, NC 28012-3829 - Phone
- (704) 825-5322
- NPI assigned
- Jun 27, 2018
- Last updated
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2073 | SC | Primary |
| Pediatric Optometrist | 152WP0200X | 2073 | SC | |
| Sports Vision Optometrist | 152WS0006X | 2073 | SC | |
| Vision Therapy Optometrist | 152WV0400X | 2073 | SC |
Addresses
Primary practice location
111 S Main St
Belmont, NC 28012-3829
Mailing address
PO Box 1330
Belmont, NC 28012-1330
Phone (704) 825-5322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 S Main St
Belmont, NC 28012-3829
Phone (704) 825-5322
PO Box
Suite 1330
Belmont, NC 28012-1330
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555 | NC | MD | Psychologist |
| 2073 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley a Wruble OD PLLC | Optometrist | Current | Accepting new patients |
| Brian Colletto OD, Inc | Optometrist | Current | Accepting new patients |
Locations
111 S Main St
Belmont, NC 28012
Phone (704) 825-5322
356 Oakland Ave
Rock Hill, SC 29730
Phone (803) 890-3937
Organizations & group practices 2
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.
-
- Optometrist
- Rock Hill, SC
- NPI 1356485346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1285129775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "BELMONT",
"state": "NC",
"postal_code": "280121330",
"telephone_number": "704-825-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MAIN ST",
"city": "BELMONT",
"state": "NC",
"postal_code": "280123829",
"telephone_number": "704-825-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "CALAH",
"middle_name": "LEIGH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2073",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "SC",
"license": "2073",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "SC",
"license": "2073",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "SC",
"license": "2073",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, NC
- Jaymee M Chu
- City of Angels Home Healthcare Inc
- City of Angels Home Healthcare Inc
- Carol Ashe Clapp, RN
- Betsy Griffen Clark, LCSW
- Clemson Sports Medicine and Rehabilitation, Inc (Sports Plus)
- Valerie Pacheco Cloud, PA-C
- CMC-Northeast, Inc. (Carolinas Pediatric Neurology Care - Holy Angels)
- Allison Clippard Cobb, RPH
- Kealin Jerrod Coffin, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.