Clifford Mark Brittain, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1178 Issued in NC

Practice address

644 Statesville Blvd
Ste 3
Salisbury, NC 28144-2280

Phone

(704) 633-8975

Fax

(704) 633-9160

NPI assigned

May 10, 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

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1568411981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BL",
            "address_2": "STE 3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442281",
            "telephone_number": "704-633-8975",
            "fax_number": "704-633-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD",
            "address_2": "STE 3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442280",
            "telephone_number": "704-633-8975",
            "fax_number": "704-633-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTAIN",
        "first_name": "CLIFFORD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-09108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William McCall Brinkley Jr., M.D.
• Linda J Brisbin, MSW, LCSW
• Richard L. Brisbin, PH.D.
• Claire Bristol, PHARM.D.
• James E Bristol, M.D.
• Gregory Jerome Brooks Jr.
• Jaquan Brooks
• Andrew Brown
• Edawrd Brown
• Jenifer Brown, R.T.R.M.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.