DR. CLAY JAMES CONNOLLY (OD) – Optometrist, NPI 1033649231

DR. CLAY JAMES CONNOLLY (OD) is a healthcare provider. based in Ludington, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005063 (MI). The NPI Number for DR. CLAY JAMES CONNOLLY (OD) is 1033649231

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLAY JAMES CONNOLLY (OD)
NPI
1033649231
Phone
(231) 845-6261
Address
5959 LAWNDALE ST
Enumeration Date
20 June 2017
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
8104743937
Graduation Year
2017 (9 years ago)
PAC ID
5395014294
Group Practice PAC ID
7810890738
Professional Enrollment ID
I20170710000898
Address ID
MI481149348BR7329XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. CLAY JAMES CONNOLLY (OD)

  • Lawndale Street, Ludington, Pere Marquette Charter Township, Mason County, Michigan, 49431, United States

    LUDINGTON, MI 494312921

    Phone: (231) 845-6261

    Fax: (231) 843-9171

    Type: Mailing

  • 1775, South Mitchell Street, Cadillac, Clam Lake Township, Wexford County, Michigan, 49601, United States

    CADILLAC, MI 496018533

    Phone: (800) 974-2020

    Type: Location

  • 7329 GRAND RIVER RD

    BRIGHTON, MI 481149348

    Phone: (810) 474-3937

    Fax: (810) 474-3940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,011.

Total Amount is formed as General ($1,011) + Research ($0) + Ownership ($0) = $1,011.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($257).

Total Amount

$1,011

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170710000898IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes434381$0
92134Imaging of retina144124$0
99213Established patient office or other outpatient visit, 20-29 minutes11696$0
92083Exam of visual field with extended testing9390$0
92133Imaging of optic nerve8484$0
View full utilization report →

Insurance plans in this area (ZIP 49431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810890738View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
-MI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

How do I look up DR. CLAY JAMES CONNOLLY (OD) by NPI?
Use NPI 1033649231 when you need to reference DR. CLAY JAMES CONNOLLY (OD) in forms, claims, or directories.
Is DR. CLAY JAMES CONNOLLY (OD) active in the national directory?
DR. CLAY JAMES CONNOLLY (OD)'s public NPI profile is in an active state.
What kind of provider is DR. CLAY JAMES CONNOLLY (OD)?
The page reflects Optometrist for DR. CLAY JAMES CONNOLLY (OD). Clinical services aligned with this taxonomy classification.
Does DR. CLAY JAMES CONNOLLY (OD) practice in Michigan?
You will see Ludington, Michigan on file for DR. CLAY JAMES CONNOLLY (OD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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