Active NPI
Keith Clawson, O.D.
- Optometrist
- York, PA
National Provider Identifier
1659443513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PAOEG762
- Practice address
- 200 York Galleria
Waterford Rd RT 929
York, PA 17402-8979 - Phone
- (717) 840-1919
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | PAOEG762 | PA | Primary |
Addresses
Primary practice location
200 York Galleria
Waterford Rd RT 929
York, PA 17402-8979
Mailing address
3657 Regency LN
York, PA 17402-4245
Phone (717) 755-4126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAOEG762 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659443513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3657 REGENCY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174024245",
"telephone_number": "717-755-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 YORK GALLERIA",
"address_2": "WATERFORD RD RT 929",
"city": "YORK",
"state": "PA",
"postal_code": "174028979",
"telephone_number": "717-840-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "KEITH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "PAOEG762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.