Active NPI
Claire Head, OD
- Optometrist
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2784
- Practice address
- 1737 Wilkesboro Hwy Ste D
Statesville, NC 28625-8602 - Phone
- (704) 878-2660
- NPI assigned
- Sep 18, 2023
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2444 | NC | MD | Behavioral Analyst |
| 2784 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Optometric Center PA | Optometrist | Current | Accepting new patients |
| Bartlett Grigsby Boan & Assoc PLLC | Optometrist | Past | Accepting new patients |
| South Carolina CVS Pharmacy LLC | Past | 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
- Ishmael Robert Hayfron, DNP, FNP-C
- Sally Ironside Haynes, LMHC, MAC, EMDR CERT
- Susan Blackwelder Haynes, LCASA
- Renee M Hazelton, PA-C
- Alyssa English Head, PHYSICIAN ASSISTANT
- Maria Campbell Head, FNP-C
- Marilyn Virginia Heagney, CCC-SLP
- Health Services Unlimited
- Hearing Services & Hearing Aid Center, Inc.
- Heartfelt Homes of the Carolinas LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.