Individual provider Active NPI

Calah Leigh Clayton, OD

  • Optometrist
  • Belmont, NC
National Provider Identifier
1285129775
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2073 Issued in SC
Practice address
111 S Main St
Belmont, NC 28012-3829
Phone
(704) 825-5322
NPI assigned
Jun 27, 2018
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190515003114 SC Practitioner - Optometry 5395088256 Reassigns benefits to 1 organization
I20190809002784 NC Practitioner - Optometry 5395088256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bradley a Wruble OD PLLCGroup PAC ID 0244515831, 4 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2555NCMDPsychologist
2073SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley a Wruble OD PLLC Optometrist CurrentSince May 27, 2022 Accepting new patients
Brian Colletto OD, Inc Optometrist CurrentSince Oct 11, 2018 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.

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

Sources for this page

Verify at the official NPI Registry.