OrganizationActive
Clyde E. Croom, OD, PA
NPI 1669628442 · Customized Equipment (DME) · Raleigh, NC
Clyde E. Croom, OD, PA is a Customized Equipment (DME) organization in Raleigh, NC (NPI 1669628442).
Provider details
- NPI number
- 1669628442
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Clyde Croom, President(919) 834-6206
- License
- 791 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
11 Enterprise St
Raleigh, NC 27607-7323
Phone: (919) 834-6206
Street-level locationGet directions
Mailing address
11 Enterprise St
Raleigh, NC 27607-7323
Registry dates
- Enumerated
- 2008-08-13
- Last updated
- 2008-08-13
Frequently asked questions
- What is Clyde E. Croom, OD, PA's NPI number?
- Clyde E. Croom, OD, PA's National Provider Identifier (NPI) is 1669628442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clyde E. Croom, OD, PA?
- Clyde E. Croom, OD, PA is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Clyde E. Croom, OD, PA located?
- Clyde E. Croom, OD, PA's practice location on file with NPPES is 11 Enterprise St, Raleigh, NC 27607-7323.
- What is Clyde E. Croom, OD, PA's phone number?
- The practice phone number listed in the NPPES registry for Clyde E. Croom, OD, PA is (919) 834-6206.
- Who is the authorized official for Clyde E. Croom, OD, PA?
- The authorized official listed on Clyde E. Croom, OD, PA's NPPES record is Clyde Croom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clyde E. Croom, OD, PA's NPI active?
- Yes — Clyde E. Croom, OD, PA's NPI (1669628442) is active in the NPPES registry as of the last update on 2008-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.