CLIFFORD D COURTENAY O.D.
NPI 1619982485
Optometrist in Valdosta, GA

Q: What is Clifford Courtenay's NPI number?

The NPI number for Clifford Courtenay is 1619982485. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Clifford Courtenay's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 30, 2006PECOS Enrolled

3024 N PATTERSON ST, VALDOSTA, GA 31602(229) 247-4114(229) 245-9042 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clifford D Courtenay O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD D COURTENAY O.D. (NPI 1619982485) is an individual optometrist in Valdosta, Georgia, licensed in Georgia (OPT00145) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619982485

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameCLIFFORD D COURTENAYCredential: O.D.

Location Address3024 N PATTERSON STValdosta, GA 31602-1711

Mailing Address3024 N Patterson StValdosta, GA 31602-1711 · (229) 247-4114 · Fax (229) 245-9042

Phone(229) 247-4114

Fax(229) 245-9042

Sole ProprietorNo

Enumeration DateJuly 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619982485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in GA · OPT00145

Definition

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.

3024 N PATTERSON ST, Valdosta, GA 31602

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Other Identifiers 3

Medicare ID-Type Unspecified41CBVNGA

Medicare UPINT41515

Medicaid000317138BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clifford D Courtenay O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEASSOCIATES SURGERY CENTER, INC

Clinic/Center (Ambulatory Surgical)