Individual provider Active NPI

Claire Head, OD

  • Optometrist
  • Statesville, NC
National Provider Identifier
1922886431
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2784 Issued in NC
Practice address
1737 Wilkesboro Hwy Ste D
Statesville, NC 28625-8602
Phone
(704) 878-2660
NPI assigned
Sep 18, 2023
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2444 SC
Optometrist 152W00000X 2784 NC Primary

Addresses

Primary practice location

1737 Wilkesboro Hwy Ste D
Statesville, NC 28625-8602

Mailing address

1737 Wilkesboro Hwy Ste D
Statesville, NC 28625-8602
Phone (859) 230-7420

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240528000756 NC Practitioner - Optometry 3072960632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

2120 Statesville Blvd
Salisbury, NC 28147-1410
Phone (704) 636-0059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2444NCMDBehavioral Analyst
2784NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center PA Optometrist CurrentSince Jun 3, 2024 Accepting new patients
Bartlett Grigsby Boan & Assoc PLLC Optometrist PastSince Jun 3, 2024 Accepting new patients
South Carolina CVS Pharmacy LLC PastSince Jun 3, 2024 Accepting new patients

Locations

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

2120 Statesville Blvd
Salisbury, NC 28147
Phone (704) 636-0059

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

1737 Wilkesboro Hwy
Ste D
Statesville, NC 28625
Phone (704) 872-7444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1922886431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 WILKESBORO HWY STE D",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258602",
            "telephone_number": "859-230-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 WILKESBORO HWY STE D",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258602",
            "telephone_number": "704-878-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "CLAIRE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2444",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.