1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

CLYDE E. CROOM, OD, PA
NPI 1669628442
Durable Medical Equipment & Medical Supplies - Customized Equipment in Raleigh, NC

Active since August 13, 2008
11 ENTERPRISE ST, RALEIGH, NC 27607(919) 834-6206 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clyde E. Croom, Od, Pa NPPES

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

CLYDE E. CROOM, OD, PA (NPI 1669628442) is a healthcare organization registered as a customized equipment in Raleigh, North Carolina and active in the NPI registry since August 2008. The organization lists Clyde E Croom, President, as its authorized official.

NPPES Registry Identity

NPI1669628442
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCLYDE E. CROOM, OD, PA
Location Address11 ENTERPRISE STRaleigh, NC 27607-7323
Mailing Address11 Enterprise StRaleigh, NC 27607-7323 · (919) 834-6206
Phone(919) 834-6206
Organization SubpartNo
Authorized OfficialClyde E CroomPresident · (919) 834-6206
Enumeration DateAugust 13, 2008
✔ NPI 1669628442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in NC · 791
11 ENTERPRISE ST, Raleigh, NC 27607
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0705340001NC

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 Clyde E. Croom, Od, PA's NPI number?

The NPI number for Clyde E. Croom, Od, PA is 1669628442. It was assigned to this organization in the NPPES registry on August 13, 2008.

Where is Clyde E. Croom, Od, PA located?

Clyde E. Croom, Od, PA is located at 11 Enterprise St, Raleigh, NC 27607. The listed phone number is (919) 834-6206.

What is Clyde E. Croom, Od, PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Clyde E. Croom, Od, PA was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.