Provider Demographics
NPI:1124208996
Name:CLEARVISION EYE CENTERS CLARK COUNTY LLP
Entity Type:Organization
Organization Name:CLEARVISION EYE CENTERS CLARK COUNTY LLP
Other - Org Name:CLEARVISION EYE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-294-2227
Mailing Address - Street 1:1627 NEVADA HWY
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-1908
Mailing Address - Country:US
Mailing Address - Phone:702-294-2227
Mailing Address - Fax:
Practice Address - Street 1:1627 NEVADA HWY
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-1908
Practice Address - Country:US
Practice Address - Phone:702-294-2227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV550152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty