Gregory Walter Clardy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5835TA385 Issued in AL

Practice address

6125 University Drive
Suite D10
Huntsville, AL 35806

Phone

(256) 922-1633

Fax

(256) 922-1634

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• In Focus Inc,

  • Optometrist
  • Huntsville, AL
  • NPI 1942634621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306042346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 BRAMBLEWOOD DR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-658-7665",
            "fax_number": "256-922-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 UNIVERSITY DRIVE",
            "address_2": "SUITE D10",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35806",
            "telephone_number": "256-922-1633",
            "fax_number": "256-922-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARDY",
        "first_name": "GREGORY",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "5835TA385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roza B Cieszkowski, M.D.
• Michael Cilimberg, PA
• Marco Cioppi, MD
• Sam J Citrano Jr., DMD
• Kyle Anthony Claborn, CRNP
• Alyssa Clare
• Ariel Clark
• Brian T Clark, D.C.
• Deborah Neir Clark, RPH
• Doris Elizabeth Clark, CRNP

• Optometrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.