Cled T Click, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

198 Issued in NM

Practice address

315 N 3Rd Ave
Clayton, NM 88415-3300

Phone

(575) 374-2533

Fax

(575) 374-2533

NPI assigned

Aug 14, 2006

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM, TX3 enrollments

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 3

Specialty

Optometry

Education

University of Houston - College of Optometry, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broome Professionals PAGroup PAC ID 0143495051, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cledc@broomeoptical.eyefinity-direct.com
• Direct secure messaging: cledclicknm@drclicknm.direct.eyemdemr.com

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.

• Broome Professionals PA

  dba Broome Optical

  • Eyewear Supplier
  • Amarillo, TX
  • NPI 1952581670

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1922011410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884153300",
            "telephone_number": "575-374-2533",
            "fax_number": "575-374-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884153300",
            "telephone_number": "575-374-2533",
            "fax_number": "575-374-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLICK",
        "first_name": "CLED",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "198",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196032-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94851069",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00336378",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Health Systems Inc (Union County General Hospital)
• Clayton Health Systems, Inc (Union County Health Center)
• Clayton Health Systems, Inc
• Clayton Nursing and Rehab Center Opco, LLC (Clayton Nursing Post Acute)
• Clayton Nursing Operations LLC
• Leslie A Crist, BIS
• Brandy Decker, PTA
• Alice Colleen Doolin, CASE MANAGER
• Frances Earle, BMS
• Sara Jo Emery

• Optometrist in Clayton, NM
• Providers in Clayton, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.