Provider Demographics
NPI:1568131936
Name:CLEAR VISION PEDIATRIC OPHTHALMOLOGY CENTER, PLLC
Entity Type:Organization
Organization Name:CLEAR VISION PEDIATRIC OPHTHALMOLOGY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AKOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-261-3131
Mailing Address - Street 1:4707 EVERHART RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2751
Mailing Address - Country:US
Mailing Address - Phone:361-857-6600
Mailing Address - Fax:
Practice Address - Street 1:4707 EVERHART RD STE 108
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2751
Practice Address - Country:US
Practice Address - Phone:361-857-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus SpecialistGroup - Single Specialty