Keith Doyle Clay, OD
Individual provider Active NPI Optometrist · Murphy, NC
NPI 1366463200 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1366463200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- NC1489 (NC)
- Practice address
- 137 Peachtree St
Suite 3 Professional BLDG
Murphy, NC 28906-2909 - Phone
- (828) 837-2014
- Fax
- (828) 837-7046
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
137 Peachtree St
Murphy, NC 28906-2909
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1489 | NC | MD | Optometrist |
| 1489 | NC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1489 | NC | Yes |
Addresses
Primary practice location
137 Peachtree St
Suite 3 Professional BLDG
Murphy, NC 28906-2909
Mailing address
137 Peachtree St
Suite 3 Professional BLDG
Murphy, NC 28906-2909
Phone (828) 837-2014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890915K | Medicaid | NC | |
| 0915K | Other | NC | BCBS |
Other providers in Murphy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.