Clayton K Ckodre, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4442TG Issued in TX

Practice address

20630 State Highway 46 W Ste 120
Spring Branch, TX 78070-6855

Phone

(830) 980-3306

NPI assigned

Aug 11, 2006

Last updated

Feb 13, 2013By 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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharron Acosta MD PAGroup PAC ID 7517924335, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sharron Acosta MD PA

  dba Eye Associates of South Texas

  • Ophthalmology Physician
  • Seguin, TX
  • NPI 1073638490
  Medicare reassignment Care Compare group
• Jennifer Anne Martino, OD

  • Optometrist
  • New Braunfels, TX
  • NPI 1598736613
  Medicare reassignment

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1972514008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20630 STATE HIGHWAY 46 W STE 120",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706855",
            "telephone_number": "830-980-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20630 STATE HIGHWAY 46 W STE 120",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706855",
            "telephone_number": "830-980-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CKODRE",
        "first_name": "CLAYTON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4442TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4442TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019316101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramiro Cantu III, DMD
• Bren Montgomery Carr, D.D.S.
• Jairo Chavez, D.D.S
• CHD- Spring Branch PLLC
• Children's Dental Ark (Cheryl Sellers DDS PA dba Children's Dental Ark)
• Tailor Danielle Clark, LMFT-A, LPCA-
• Clean Country Livin LLC
• Amy Sue Cline, RPH
• Coastal ER VIII, LLC (Physicians PremiER)
• Rachael Kay Cofield

• Corneal and Contact Management Optometrist in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.