Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clayton Ellis Wisely

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669834875

Clayton Ellis Wisely is an Ophthalmology in Columbus, Ohio. Qualified in 2016, 10 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

793 W State St
Columbus, OH 43222-1551
Phone: (614) 234-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1669834875
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2016
Last updated in NPPESMarch 30, 2016
Mailing address793 W State St, Columbus, OH 43222-1551

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Columbus