Provider Demographics
NPI:1538318571
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 1:519 N PONTIAC TRL
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3442
Mailing Address - Country:US
Mailing Address - Phone:248-624-1707
Mailing Address - Fax:248-624-0203
Practice Address - Street 1:519 N PONTIAC TRL
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3442
Practice Address - Country:US
Practice Address - Phone:248-624-1707
Practice Address - Fax:248-624-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI580001835OtherRETIRED RAILROAD MEDICARE
MI580001835OtherRETIRED RAILROAD MEDICARE