CLAYTON DAVIS, OD OF SOUTH CAROLINA, LLC (NPI# 1962954594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962954594 |
| Entity Type | Organization |
| Organization Name | CLAYTON DAVIS, OD OF SOUTH CAROLINA, LLC |
| Practice Address |
200 N Beltline Dr Florence SC 29501-7403 |
| Mailing Address |
1206 Moser Dr # 711 Myrtle Beach SC 29577-1575 |
| Practice Telephone | 8436622769 |
| Mailing Telephone | 8067789074 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-12-14 |
| Authorized Official Name | DR. CLAYTON DAVIS (OPTOMETRY) |
| Authorized Official Telephone | 8067789074 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1870 | SC | Eye and Vision Services Providers |
| Street Address |
200 N BELTLINE DR |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487641825 | Clayton Davis | Optometrist | 200 N Beltline Dr, Florence, SC 29501-7403 | 2005-09-30 |
| 1912423153 | Mary Vivas Dail | Pharmacist | 200 N Beltline Dr, Florence, SC 29501-7403 | 2017-08-18 |
| 1891116935 | Sam's East, Inc. | Technician/Technologist | 200 N Beltline Dr, Florence, SC 29501-7403 | 2013-12-16 |
| 1578994786 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 N Beltline Dr, Florence, SC 29501-7403 | 2013-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| 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 |
|---|---|---|---|---|
| 1528607215 | National Vision Inc | Optometrist | 382 Cox Creek Pkwy, Florence, AL 35630-1540 | 2019-12-30 |
| 1699333526 | Myeyedr Optometry of Kentucky, Pllc | Optometrist | 8537 Us Highway 42 Ste 4f, Florence, KY 41042-4796 | 2019-06-05 |
| 1497221337 | Insight Eyecare | Optometrist | 8850 Us 42 Unit 2, Florence, KY 41042-9699 | 2018-10-18 |
| 1184159907 | Morgan Betz | Optometrist | 2374 Freedom Blvd Apt C5, Florence, SC 29505-6194 | 2017-04-30 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1063810299 | Dr Claffie and Associates | Optometrist | 2130 Mall Road, Florence, KY 41042-1494 | 2014-12-22 |
| 1962818948 | Florence Eye Center, Inc. | Optometrist | 109 N Court St, Florence, AL 35630-4764 | 2014-07-10 |
| 1326480278 | Jennifer Michelle Michael | Optometrist | 8537 Us Highway 42 Ste 4, Florence, KY 41042-4796 | 2013-07-19 |
| 1760737175 | Michelle L. Brooks | Optometrist | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 | 2012-07-23 |
| 1285902635 | Gary Desmond Beamon | Optometrist | 1945 W Palmetto St, Florence, SC 29501-3919 | 2011-12-13 |
| Find all providers in FLORENCE | ||||
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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.