Ragsdale & Clayton Optometric Centers, Inc.
NPI 1770901613ActiveOrganization· Optometrist· Moreno Valley, CA
Optometrist in Moreno Valley, California, registered in NPPES in March 2014. The authorized official on file is Ethan Mackenzie Clayton, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770901613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2014 |
| Last updated in NPPES | Mar 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 12701T | CA |
| Optometrist | 152W00000X | 10009T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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