Provider Demographics
NPI:1003269523
Name:CLEARVIEW EYEWEAR
Entity Type:Organization
Organization Name:CLEARVIEW EYEWEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-370-3816
Mailing Address - Street 1:398 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3269
Mailing Address - Country:US
Mailing Address - Phone:732-232-3769
Mailing Address - Fax:
Practice Address - Street 1:398 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3269
Practice Address - Country:US
Practice Address - Phone:732-232-3769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========Medicaid