Provider Demographics
NPI:1508489824
Name:CLEAR VIEW VISION CENTER, LLC
Entity Type:Organization
Organization Name:CLEAR VIEW VISION CENTER, LLC
Other - Org Name:CLEAR VIEW VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:MENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-316-6016
Mailing Address - Street 1:1001 AVENUE H STE 2
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-4559
Mailing Address - Country:US
Mailing Address - Phone:319-316-6016
Mailing Address - Fax:319-669-8335
Practice Address - Street 1:1001 AVENUE H STE 2
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-4559
Practice Address - Country:US
Practice Address - Phone:773-329-3253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty