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DR. JEFFERY CLYDE LOCKE NPI 1174503387


NPI Profile

NPI: 1174503387
Provider Name: DR. JEFFERY CLYDE LOCKE
Classification:Optometrist - 152W00000X
Entity Type: Individual
Organization: BREVARD OPTOMETRY ASSOCIATES

PECOS Registration: Yes

Address:
2420 S BABCOCK ST
MELBOURNE, FL
ZIP 32901
Get Directions

Phone: (321) 725-4755

DR. Jeffery Clyde Locke is an optometrist in Melbourne, FL with 34 years of experience. The provider is 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. DR. Jeffery Clyde Locke NPI is 1174503387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduation Year:1987

The provider's business location address is:

2420 S BABCOCK ST
MELBOURNE, FL
ZIP 32901-356
Phone: (321) 725-4755
Fax: (321) 725-5088

The NPI 1174503387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 1/23/2006 and was last updated on 2/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOP000891FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138200AOTHERFLORIDABCBS
219860YMEDICARE PINFLORIDA
319860UMEDICARE PINFLORIDA
4T77518MEDICARE UPINFLORIDA
532800OTHERFLORIDABCBS
61273940001MEDICARE NSCFLORIDA
71273940002MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/11/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.