DR. CLED T CLICK (NPI# 1922011410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922011410 |
| Entity Type | Individual |
| Full Name | DR. CLED T CLICK |
| Credential | O.D. |
| Practice Address |
315 N 3rd Ave Clayton NM 88415-3300 |
| Practice Telephone | 5753742533 |
| Practice Fax Number | 5753742533 |
| Mailing Telephone | 5753742533 |
| Mailing Fax Number | 5753742533 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1942 | TX | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 198 | NM | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0196032-02 | 05 | |
| NM | RAILROAD MEDICARE | P00336378 | 01 |
| NM | 94851069 | 05 |
| Street Address |
315 N 3RD AVE |
| City | CLAYTON |
| State | NM |
| Zip Code | 88415-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164616892 | Highlands Surgical Services LLC | Surgery | 315 N 3rd Ave, Clayton, NM 88415-3300 | 2007-09-06 |
| 1386658094 | Patrick J C De Baca | Surgery | 315 N 3rd Ave, Clayton, NM 88415-3300 | 2006-07-28 |
| 1497739015 | William A Gaspar | Internal Medicine | 315 N 3rd Ave, Clayton, NM 88415-3300 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578954384 | Jeremy Sanchez | Counselor | 17 B South Second St, Clayton, NM 88415 | 2015-02-16 |
| 1841697901 | Morgan Scott | Counselor | 17 B S. Second St, Clayton, NM 88415 | 2014-12-04 |
| 1891028858 | Mary Blan | Counselor | 15 Oak Street, Clayton, NM 88415 | 2009-09-09 |
| 1487887774 | Krista R. Trujillo | Counselor | 17 B S Second St, Clayton, NM 88415 | 2009-09-02 |
| 1295918324 | Southwest Family Medical Care, Inc. | Clinic/Center | 200 Court St., Clayton, NM 88415 | 2007-12-12 |
| 1447344585 | Town of Clayton | Ambulance | 1 Chestnut Street, Clayton, NM 88415 | 2006-10-03 |
| 1699871426 | Michelle A Paquin | Nurse Practitioner | 185 Dr. Michael Jenkins Road, Cms Medical Unit, Clayton, NM 88415 | 2006-09-16 |
| 1033213681 | Sharon L Gonzales | Specialist | 110 Walnut Street Office B, Clayton, NM 88415 | 2006-09-12 |
| 1114979275 | Gary D Longanecker | Counselor | 110 Walnut Street, Office B, Clayton, NM 88415 | 2006-05-17 |
| 1821048695 | Nilo Isidro Rivera | Internal Medicine | 314 North 3rd Av, Clayton, NM 88415 | 2006-05-11 |
| Find all providers in zip 88415 | ||||
| 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 |
|---|---|---|---|---|
| 1760918544 | Matthew Conlan | Optometrist | 229 Plantation Rd, Clayton, NC 27520-8183 | 2017-05-11 |
| 1740647551 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 11761 Us 70 Business Hwy W, Clayton, NC 27520 | 2016-01-25 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| 1669555033 | Danny Larue Hartzog | Optometrist | 6 W College St, Clayton, AL 36016-5106 | 2006-10-21 |
| 1942396452 | Ibry Dell Engram | Optometrist | 1455 Hwy 441 South, Clayton, GA 30525 | 2006-10-04 |
| 1174628739 | James D Salter | Optometrist | 100 Butternut Ln, Clayton, NC 27520-5868 | 2006-09-14 |
| 1932214392 | Nicole Lynn Mcfarland | Optometrist | 109 Sonoma Ct, Clayton, OH 45315-8751 | 2006-08-19 |
| 1669491437 | Stephen R Thurmond | Optometrist | 50 Earl St, Suite A, Clayton, GA 30525 | 2006-07-19 |
| 1073558128 | Clayton Eye Clinic Optometry Pa | Optometrist | 11391 Us Highway 70 W, Clayton, NC 27520-2205 | 2006-06-20 |
| 1891748232 | Jeffrey Scott Wilkins | Optometrist | 476 Shotwell Rd Ste 104, Clayton, NC 27520-3506 | 2006-05-18 |
| Find all providers in CLAYTON | ||||
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| 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.