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

Sex

Male

Sole proprietor

Yes

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.

• Broome Professionals PA

  • Eyewear Supplier
  • Amarillo, TX
  • NPI 1952581670

  Optometrist, TX

  Medicare reassignment Care Compare group NPD

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 PA 8 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2024.

{
    "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00336378",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196032-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94851069",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Health Systems Inc
• Clayton Health Systems, Inc
• Clayton Health Systems, Inc
• Clayton Nursing and Rehab Center Opco, LLC
• Clayton Nursing Operations LLC
• Leslie A Crist, BIS
• Brandy Decker, PTA
• Alice Colleen Doolin, CASE MANAGER
• Frances Earle, BMS
• Sara Jo Emery

• All providers in Clayton, NM
• 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.