Donavon R Cloninger Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

994 Issued in NC

Practice address

720 SE Maynard Rd
Barnes & Noble Plaza
Cary, NC 27511-5720

Phone

(919) 467-0959

Fax

(919) 467-5939

NPI assigned

Jul 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcloninger@direct.eyecare-partners.com

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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• Eyecarecenter, O.D., P.a.

  dba EyeCare Center

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Downtown Raleigh Eyecarecenter OD

  dba eyecarecenter

  • Optometrist
  • Raleigh, NC
  • NPI 1942330956
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1427073410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SE MAYNARD RD",
            "address_2": "BARNES & NOBLE PLAZA",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115720",
            "telephone_number": "919-467-0959",
            "fax_number": "919-467-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE MAYNARD RD",
            "address_2": "BARNES & NOBLE PLAZA",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115720",
            "telephone_number": "919-467-0959",
            "fax_number": "919-467-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONINGER",
        "first_name": "DONAVON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER ID",
            "identifier": "09161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cleo Baruiz, MD PA
• Cleo Baruiz, MD PA
• Kaysi Cleveland
• Erin Clevenger, PH.D.
• Brooke Rene Clifton
• Sara Destiny Clore, RBT, BA
• Bethany Close
• Catherine Grace Clover
• Brandon James Clowers, LCSW
• Kristin Kelly Clowes, RD, LDN

• Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.