MR. ETHAN M CLAYTON (NPI# 1629130257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629130257 |
| Entity Type | Individual |
| Full Name | MR. ETHAN M CLAYTON |
| Credential | O.D. |
| Practice Address |
23000 Atlantic Circle Moreno Valley CA 92553-5229 |
| Mailing Address |
23000 Atlantic Cir Moreno Valley CA 92553-5990 |
| Practice Telephone | 9519241877 |
| Practice Fax Number | 9514853580 |
| Mailing Telephone | 9519241877 |
| Mailing Fax Number | 9514853580 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12701T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0093410 | 05 |
| Street Address |
23000 ATLANTIC CIRCLE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340167 | Ivan Yong | Optometrist | 12625 Frederick St Ste B10, Moreno Valley, CA 92553-5232 | 2018-09-19 |
| 1013391481 | Ellen Sy | Optometrist | 23573 Sweet Clover Cir, Moreno Valley, CA 92557-3977 | 2015-07-16 |
| 1770901613 | Ragsdale & Clayton Optometric Centers, Inc. | Optometrist | 23000 Atlantic Cir, Moreno Valley, CA 92553-5990 | 2014-03-28 |
| 1225298904 | Fy Eye Optometry Group Inc | Optometrist | 27100 Eucalyptus, Moreno Valley, CA 92551 | 2008-06-16 |
| 1629289343 | Leslie Shan | Optometrist | 22550 Town Cir, Moreno Valley, CA 92553-7502 | 2007-05-24 |
| 1144344540 | Trina Trinh Tran | Optometrist | 25910 Iris Ave, Suite A2, Moreno Valley, CA 92551-1657 | 2007-03-19 |
| 1932274867 | Mark A Rosa | Optometrist | 23300 Sunnymead Blvd Ste A, Moreno Valley, CA 92553-4533 | 2006-11-24 |
| 1013014794 | Michael Minh Ba Ly | Optometrist | 22450 Town Cir, Moreno Valley, CA 92553-7506 | 2006-09-17 |
| 1740202746 | Henry Nguyen | Optometrist | 23080 Alessandro Blvd, Suite# 206, Moreno Valley, CA 92553-9673 | 2006-07-25 |
| 1629023270 | Betty Bo Young Han | Optometrist | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2006-05-23 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on MR. ETHAN M CLAYTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.