Provider Demographics
NPI:1033649231
Name:CONNOLLY, CLAY JAMES (OD)
Entity type:Individual
Prefix:DR
First Name:CLAY
Middle Name:JAMES
Last Name:CONNOLLY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:7329 GRAND RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9348
Mailing Address - Country:US
Mailing Address - Phone:810-474-3937
Mailing Address - Fax:810-474-3940
Practice Address - Street 1:7329 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9348
Practice Address - Country:US
Practice Address - Phone:810-474-3937
Practice Address - Fax:810-474-3940
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4901005063152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist