Provider Demographics
NPI:1659081917
Name:CLEAR EYE & OPTICAL FLOWER MOUND PLLC
Entity Type:Organization
Organization Name:CLEAR EYE & OPTICAL FLOWER MOUND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:254-964-4143
Mailing Address - Street 1:PO BOX 1740
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-8740
Mailing Address - Country:US
Mailing Address - Phone:254-964-4143
Mailing Address - Fax:
Practice Address - Street 1:1124 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3469
Practice Address - Country:US
Practice Address - Phone:254-964-4143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty