Provider Demographics
NPI:1326538646
Name:CLARIS EYECARE LLC
Entity Type:Organization
Organization Name:CLARIS EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZOELLICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:920-968-7546
Mailing Address - Street 1:N9262 HORSESHOE RD
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53094-9197
Mailing Address - Country:US
Mailing Address - Phone:920-988-3605
Mailing Address - Fax:
Practice Address - Street 1:1307 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53098-3428
Practice Address - Country:US
Practice Address - Phone:920-988-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty