Clyson P.C.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4901003986 Issued in MI

Legal business name

CLYSON P.C.

Practice address

289 Highland Dr
Jackson, MI 49201-9165

Phone

(517) 522-6069

Fax

(517) 817-2571

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clifford J Carter, O.D.

Title

President

Phone

(517) 522-6069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clyson, PC

  dba Gregory Optical

  • Eyewear Supplier
  • Jackson, MI
  • NPI 1063406510

  O20041109000745

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William J Buckingham, O.D.

  • Optometrist
  • Jackson, MI
  • NPI 1366437675
  NPD (past)
• Paige Parkhurst Franssen, OD

  • Optometrist
  • Ann Arbor, MI
  • NPI 1962070292
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1447422126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 HIGHLAND DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019165",
            "telephone_number": "517-522-6069",
            "fax_number": "517-817-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 HIGHLAND DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019165",
            "telephone_number": "517-522-6069",
            "fax_number": "517-817-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYSON P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-522-6069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901003986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemons Transportation LLC
• Laurie Clemons
• Shannan Marie Clevenger, LBSW
• Mary Jane Clevidence
• Barbara Cliffe-Miller, DPT
• Clyson, PC (Gregory Optical)
• Sarah Coatsworth
• Eric Christopher Coburn
• Katrina Mavis Coburn, RDH
• Sandra Cochran

• Corneal and Contact Management Optometrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Corneal and Contact Management Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.