Craig Frederick Clatanoff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NMOP2353 Issued in NM

Practice address

4100 Crestview Dr SE
Rio Rancho, NM 87124-5942

Phone

(505) 891-2020

Fax

(505) 891-2010

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NM

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rio Eyecare and Contact Lenses IncGroup PAC ID 7012904212, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rio Eyecare & Contact Lenses Inc

  • Optometrist
  • Rio Rancho, NM
  • NPI 1568520682
  Medicare reassignment Care Compare group NPD Authorized official
• Rio Eyecare & Contact Lenses Inc

  • Optometrist
  • Albuquerque, NM
  • NPI 1740017599
  NPD Authorized official
• Donald B. Leach, O.D., P.C.

  • Optometrist
  • Los Lunas, NM
  • NPI 1073784351
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881755486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CRESTVIEW DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245942",
            "telephone_number": "505-891-2020",
            "fax_number": "505-891-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CRESTVIEW DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245942",
            "telephone_number": "505-891-2020",
            "fax_number": "505-891-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLATANOFF",
        "first_name": "CRAIG",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NMOP2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Vision Eyecare, P.C.
• City of Vision Optometry, PC
• Chanley Rebecca Cizmadia
• Shannon L Clark, LMT
• Sheryl Clark
• Nicole Clay
• Rochell Denise Clay, MA, LPCC
• Clearsky Rehabilitation Hospital of Rio Rancho LLC
• Jovena Mariah Cleary
• Jessica Ann Clifford, RN

• Optometrist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Optometrist in New Mexico

• 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.
• 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.