Provider Demographics
NPI:1134310337
Name:CLEARVIEW EYECARE, P.C.
Entity Type:Organization
Organization Name:CLEARVIEW EYECARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PAVEGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:248-960-5600
Mailing Address - Street 1:45075 W PONTIAC TRL
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-1257
Mailing Address - Country:US
Mailing Address - Phone:248-960-5600
Mailing Address - Fax:248-960-8049
Practice Address - Street 1:45075 W PONTIAC TRL
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-1257
Practice Address - Country:US
Practice Address - Phone:248-960-5600
Practice Address - Fax:248-960-8049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003026152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMP1219725OtherDEA
MIOM11950Medicare PIN
MIU34853Medicare UPIN
MI1007150001Medicare NSC