John Wendell Clardy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2012-008639 Issued in AL

Practice address

3167 Dauphin St
Mobile, AL 36606-4061

Phone

(251) 476-0100

Fax

(251) 476-0152

NPI assigned

Nov 29, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1699042077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064061",
            "telephone_number": "251-476-0100",
            "fax_number": "251-476-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064061",
            "telephone_number": "251-476-0100",
            "fax_number": "251-476-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARDY",
        "first_name": "JOHN",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "2012-008639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neshia Sherrell Claiborne
• Claimpay Inc
• Rachel Leanne Clanton, MS, LMFT
• Clarcs LLC
• Clardy Contact Lens Center, Inc.
• Clarity & Focus
• Clarity Concierge LLC
• Clarity Health LLC
• Alicia Elizabeth Clark, LICSW
• Anna E Clark, PA

• Optometrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.