Provider Demographics
NPI:1639404304
Name:CLARUS CONSULTANTS LLC
Entity Type:Organization
Organization Name:CLARUS CONSULTANTS LLC
Other - Org Name:ANDRUS VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:LOFGRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:435-628-4464
Mailing Address - Street 1:749 S RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-5509
Mailing Address - Country:US
Mailing Address - Phone:435-628-4464
Mailing Address - Fax:435-628-5015
Practice Address - Street 1:749 S RIVER RD
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-628-4464
Practice Address - Fax:435-628-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7370571152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT6338400001Medicare NSC