Clayton Davis, OD of South Carolina, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1870 Issued in SC

Legal business name

CLAYTON DAVIS, OD OF SOUTH CAROLINA, LLC

Practice address

200 N Beltline Dr
Florence, SC 29501-7403

Phone

(843) 662-2769

NPI assigned

Oct 31, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clayton Davis, O.D.

Title

Optometry

Phone

(806) 778-9074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1962954594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MOSER DR # 711",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771575",
            "telephone_number": "806-778-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BELTLINE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017403",
            "telephone_number": "843-662-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON DAVIS, OD OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OPTOMETRY",
        "authorized_official_telephone_number": "806-778-9074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Anne Clark, RN
• Stephanie Clark, CDCES, RN
• Annmarie Jennifer Clarke-Thomas, RN
• Christina Clarkin, NP
• Angela Lynn Clary, MD
• Cleartrust Diagnostic Testing
• Aric Matthew Clegg
• Virginia Lee Clyburn-Ipock, M.D.
• Cmi - Florence (Carter Clinic)
• Coastal Health, LLC

• Optometrist in Florence, SC
• Providers in Florence, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.