Provider Demographics
NPI:1417391004
Name:CLEAR VIEW EYE CARE OD PA
Entity Type:Organization
Organization Name:CLEAR VIEW EYE CARE OD PA
Other - Org Name:EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-708-5659
Mailing Address - Street 1:13521 STEELECROFT PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7545
Mailing Address - Country:US
Mailing Address - Phone:704-708-5659
Mailing Address - Fax:704-708-5669
Practice Address - Street 1:13521 STEELECROFT PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7545
Practice Address - Country:US
Practice Address - Phone:704-708-5659
Practice Address - Fax:704-708-5669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty