Organization Active NPI

Keith Clay Optometry

  • Optometrist
  • Murphy, NC
National Provider Identifier
1326334731
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1489 Issued in NC
Legal business name
KEITH CLAY OPTOMETRY
Practice address
137 Peachtree St
Suite 3 Professional Building
Murphy, NC 28906-2909
Phone
(828) 837-2014
Fax
(828) 837-7046
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Keith Clay, O.D.
Title
Owner
Phone
(828) 837-2014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1489 NC Primary

Addresses

Primary practice location

137 Peachtree St
Suite 3 Professional Building
Murphy, NC 28906-2909

Mailing address

137 Peachtree St
Suite 3 Professional Building
Murphy, NC 28906-2909
Phone (828) 837-2014

Other identifiers 1

IdentifierTypeStateIssuer
890915KMedicaidNC

National Provider Directory

National Provider Directory

Locations

137 Peachtree St
Ste 3
Murphy, NC 28906
Phone (828) 837-2014

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1326334731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PEACHTREE ST",
            "address_2": "SUITE 3 PROFESSIONAL BUILDING",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289062909",
            "telephone_number": "828-837-2014",
            "fax_number": "828-837-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PEACHTREE ST",
            "address_2": "SUITE 3 PROFESSIONAL BUILDING",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289062909",
            "telephone_number": "828-837-2014",
            "fax_number": "828-837-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH CLAY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-837-2014",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.