Provider Demographics
NPI:1003547969
Name:CLARITI EYECARE, LLC
Entity Type:Organization
Organization Name:CLARITI EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LICENSED DISPENSING OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:DESHUN
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:901-461-2121
Mailing Address - Street 1:2760 N GERMANTOWN PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-8155
Mailing Address - Country:US
Mailing Address - Phone:901-464-2121
Mailing Address - Fax:901-464-2130
Practice Address - Street 1:2760 N GERMANTOWN PKWY STE 204
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-8155
Practice Address - Country:US
Practice Address - Phone:901-464-2121
Practice Address - Fax:901-464-2130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1144968611OtherMAIN PROVIDER / OWNER NPI