Provider Demographics
NPI:1417533035
Name:CLEARVUE EYE CARE
Entity Type:Organization
Organization Name:CLEARVUE EYE CARE
Other - Org Name:CLEARVUE EYE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:O D
Authorized Official - Phone:212-255-2240
Mailing Address - Street 1:128 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7854
Mailing Address - Country:US
Mailing Address - Phone:212-255-2240
Mailing Address - Fax:212-295-9205
Practice Address - Street 1:128 W 13TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7854
Practice Address - Country:US
Practice Address - Phone:908-256-6345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty