Individual provider Active NPI

Keith Doyle Clay, OD

  • Optometrist
  • Murphy, NC
National Provider Identifier
1366463200
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1489 Issued in 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
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1489 NC Primary

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 2

IdentifierTypeStateIssuer
890915KMedicaidNC
0915KOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
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

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1489NCMDOptometrist
1489NCMDAthletic Trainer

Organizations & group practices 1

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1366463200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PEACHTREE ST",
            "address_2": "SUITE 3 PROFESSIONAL BLDG",
            "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 BLDG",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289062909",
            "telephone_number": "828-837-2014",
            "fax_number": "828-837-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "KEITH",
        "middle_name": "DOYLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0915K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.