Kaleb Philip Clemons, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

223944 Issued in AK

Practice address

1345 W 9TH Ave
Anchorage, AK 99501-3236

Phone

(513) 340-1912

NPI assigned

Mar 25, 2024

Last updated

May 22, 2024By the provider in NPPES

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 AK

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Alaska Eye Care Centers ApcGroup PAC ID 8921999574, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alaska Eye Care Centers, Apc

  • Optometrist
  • Anchorage, AK
  • NPI 1871573485
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569

  AK

  Medicare reassignment Care Compare group NPD
• Alaska Eye Care Centers, Apc

  • Optometrist
  • Wasilla, AK
  • NPI 1194854604
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1376393488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6364 BRANCH HILL GUINEA PIKE",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409405",
            "telephone_number": "513-340-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013236",
            "telephone_number": "513-340-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6364 Branch Hill Guinea Pike",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451409405",
            "country_code": "US",
            "telephone_number": "513-340-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "KALEB",
        "middle_name": "PHILIP",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "223944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn A Clement, M.H.S., SLP-CCC
• Marion Elise Clement, N.D.
• Camille Noelle Clements, APRN, CNM
• Lauren Clements, CF-SLP
• Angelal Kay Clemmons
• Sage Alexandra Clemons
• Brianna Clendenin
• Kimelia Clendenin, ARNP
• Mariana Clendenin
• Stacey Rae Clendenning, PTA

• Optometrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.