Provider Demographics
NPI:1417125311
Name:CLARITY EYE CENTER PLLC
Entity Type:Organization
Organization Name:CLARITY EYE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DELEGATE
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:KASALA
Authorized Official - Last Name:JATLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-244-7200
Mailing Address - Street 1:4337 TERAVISTA CLUB DR
Mailing Address - Street 2:STE 100
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1647
Mailing Address - Country:US
Mailing Address - Phone:512-244-7200
Mailing Address - Fax:512-868-3907
Practice Address - Street 1:4337 TERAVISTA CLUB DR
Practice Address - Street 2:STE 100
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1647
Practice Address - Country:US
Practice Address - Phone:512-244-7200
Practice Address - Fax:512-868-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8058207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196962801Medicaid