Monie B Clifton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1447 Issued in SC

Practice address

439 Channel Road
Suite #103
Lake Wylie, SC 29710

Phone

(803) 746-7711

Fax

(803) 746-7189

NPI assigned

Aug 14, 2006

Last updated

Feb 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Eyecare Corporation

  • Optometrist
  • Lake Wylie, SC
  • NPI 1487880514
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1801809454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 CHANNEL ROAD",
            "address_2": "SUITE #103",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "29710",
            "telephone_number": "803-746-7711",
            "fax_number": "803-746-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 CHANNEL ROAD",
            "address_2": "SUITE #103",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "29710",
            "telephone_number": "803-746-7711",
            "fax_number": "803-746-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "MONIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005000535",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION",
            "identifier": "SC1447",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Osterhoudt, LLC
• Allison Kay Bull, PA-C
• Carolina Family Dentistry at Lake Wylie (Carolina Family Dentistry at Rock Hill)
• Caromont Medical Group, Inc. (CaroMont Urgent Care)
• Jenna Carter, APRN
• Kristen Carter Cole, APRN
• Kannesha Coleman
• Melissa Colon
• Companion Counseling and Coaching (Companion Counseling)
• Allison Converse

• Optometrist in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.