OrganizationActive
Fred S Cloninger OD
NPI 1235539099 · Eyewear Supplier · Gastonia, NC
Fred S Cloninger OD is a Eyewear Supplier organization in Gastonia, NC (NPI 1235539099).
Provider details
- NPI number
- 1235539099
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Fred S Cloninger OD
- Organization subpart
- Yes
- Authorized official
- Fred Cloninger, Owner70418653731
- License
- 0804 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
406 S Broad St
Suite a
Gastonia, NC 28054-4304
Phone: (704) 865-3731
Fax: (704) 864-5736
Street-level locationGet directions
Mailing address
406 S Broad St
Gastonia, NC 28054-4304
Other names (DBA / former)
- Doing business as
- Broad Street Vision Center
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2014-08-29
Frequently asked questions
- What is Fred S Cloninger OD's NPI number?
- Fred S Cloninger OD's National Provider Identifier (NPI) is 1235539099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fred S Cloninger OD?
- Fred S Cloninger OD is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Fred S Cloninger OD located?
- Fred S Cloninger OD's practice location on file with NPPES is 406 S Broad St, Gastonia, NC 28054-4304.
- What is Fred S Cloninger OD's phone number?
- The practice phone number listed in the NPPES registry for Fred S Cloninger OD is (704) 865-3731.
- Who is the authorized official for Fred S Cloninger OD?
- The authorized official listed on Fred S Cloninger OD's NPPES record is Fred Cloninger, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fred S Cloninger OD's NPI active?
- Yes — Fred S Cloninger OD's NPI (1235539099) is active in the NPPES registry as of the last update on 2014-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.