John Clerico, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

912 Issued in NC

Practice address

3528 Yadkinville Rd
Winston Salem, NC 27106-2535

Phone

(336) 924-6811

Fax

(336) 922-4375

NPI assigned

Dec 20, 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 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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clear View OptometryGroup PAC ID 3577976794, 2 clinicians

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.

• Clear View Optometry

  • Optometrist
  • Winston Salem, NC
  • NPI 1639781776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1740266873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 YADKINVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062535",
            "telephone_number": "336-924-6811",
            "fax_number": "336-922-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 YADKINVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062535",
            "telephone_number": "336-924-6811",
            "fax_number": "336-922-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERICO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Mark Clemens, MD
• Caitlin Marie Clement, CRNA
• Dalice D Clement
• Grace Taiyu Evadare Clements
• Clerico Optometry, P.a.
• Benicia Elaine Cleveland, MED, LAT, ATC
• Barbara Ann Clifford, MD
• Lucy M Clifford, MS, CCC-SLP
• Bonnie M. Clifton, RPSGT REEGT
• Meredith Gordon Clifton, PA-C

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.