Clayton G Skrzypczak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004199 Issued in MI

Practice address

882 M 72 W
Kalkaska, MI 49646-8787

Phone

(231) 258-9781

Fax

(231) 258-0616

NPI assigned

Sep 1, 2005

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 MI

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Townline Family PC

  • Optometrist
  • Kalkaska, MI
  • NPI 1679968044
  Medicare reassignment NPD Authorized official
• Robert & Kimberly Molter Inc

  • Optometrist
  • Kalkaska, MI
  • NPI 1841303153
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1649264995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 M 72 W",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468787",
            "telephone_number": "231-258-9781",
            "fax_number": "231-947-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 M 72 W",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468787",
            "telephone_number": "231-258-9781",
            "fax_number": "231-258-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E. Main St.",
            "address_purpose": "LOCATION",
            "city": "Kingsley",
            "state": "MI",
            "postal_code": "496490148",
            "country_code": "US",
            "telephone_number": "231-263-8172",
            "fax_number": "231-263-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKRZYPCZAK",
        "first_name": "CLAYTON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MI4199",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank A Selega, DDS
• Mandy Annoca Sharpe
• Craig Sheerin, PA-C
• Shopko Stores Operating Co LLC
• Jacqueline Shumaker, RN, BSN, MPH
• Smith Dentistry PLLC
• Grant Smith, DDS
• Perry Scott Smith, D.C.
• Ashley Lynn Snyder, RD
• Dan F. Soenen, D.D.S.,P.C.

• Optometrist in Kalkaska, MI
• Providers in Kalkaska, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.