Provider Demographics
NPI:1619443397
Name:CLARITY VISION CENTER INC.
Entity Type:Organization
Organization Name:CLARITY VISION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/VISION CARE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-205-4363
Mailing Address - Street 1:7792 DEERCREEK CT
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3826
Mailing Address - Country:US
Mailing Address - Phone:804-205-4363
Mailing Address - Fax:
Practice Address - Street 1:1900 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2230
Practice Address - Country:US
Practice Address - Phone:954-431-3060
Practice Address - Fax:954-431-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1700286044OtherNPI TYPE 1
FL014429800Medicaid