Provider Demographics
NPI:1336286012
Name:CLARITY ADVANCED EYECARE, PLLC
Entity Type:Organization
Organization Name:CLARITY ADVANCED EYECARE, PLLC
Other - Org Name:OAKLAND VISION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:517-231-7422
Mailing Address - Street 1:608 N LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-2001
Mailing Address - Country:US
Mailing Address - Phone:248-437-3351
Mailing Address - Fax:248-437-0738
Practice Address - Street 1:608 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-2001
Practice Address - Country:US
Practice Address - Phone:248-437-3351
Practice Address - Fax:248-437-0738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4349810Medicaid
MI0F36675Medicare PIN
MI4349810Medicaid
MI0552360002Medicare NSC
MI0F36675Medicare ID - Type Unspecified