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TERRY LEE CLAYVILLE O.D.
NPI 1649354432
Optometrist in Highland, CA

Active since October 25, 2006Opted out of Medicare · through Oct 1, 2027
7291 BOULDER AVE, STE 2D, HIGHLAND, CA 92346(909) 425-1212(909) 425-2485 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terry Lee Clayville O.d. NPPES

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

TERRY LEE CLAYVILLE O.D. (NPI 1649354432) is an individual optometrist in Highland, California, licensed in California (08157) and active in the NPI registry since October 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649354432
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTERRY LEE CLAYVILLECredential: O.D.
Location Address7291 BOULDER AVE, STE 2DHighland, CA 92346-3389
Mailing Address7291 Boulder Ave, Ste 2dHighland, CA 92346-3389 · (909) 425-1212 · Fax (909) 425-2485
Phone(909) 425-1212
Fax(909) 425-2485
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 2, 2012
✔ NPI 1649354432 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 CA · 08157
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.
7291 BOULDER AVE, Highland, CA 92346
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Other Identifiers 3

MedicaidSD0081570CA
Medicare UPINU18626CA
Medicare ID-Type UnspecifiedSD0081570CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Terry Lee Clayville O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92346 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 4

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

DR. CHANDRA CHOCKALINGAM DDS
Dentist (General Practice)
7291 BOULDER AVE
HIGHLAND, CA 92346
San Bernardino County (909) 425-8980
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Family Medicine
7291 BOULDER AVE, STE 2C
HIGHLAND, CA 92346
San Bernardino County (909) 862-4226
JUDY F. BLODGETT PA
Physician Assistant
7291 BOULDER AVE, SUITE #2C
HIGHLAND, CA 92346
San Bernardino County (909) 862-4226
DR. MARK RAYMOND STINSON O.D.
Optometrist
7291 BOULDER AVE, 2D
HIGHLAND, CA 92346
San Bernardino County (909) 425-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Clayville's NPI number?

The NPI number for Terry Clayville is 1649354432. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Terry Clayville located?

Terry Clayville practices at 7291 Boulder Ave Ste 2D, Highland, CA 92346. The listed phone number is (909) 425-1212.

What is Terry Clayville's specialty?

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

Is Terry Clayville enrolled in Medicare?

No. Terry Clayville has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Terry Clayville was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.