Provider Demographics
| NPI: | 1659827426 |
|---|---|
| Name: | CLEAR VIEW FAMILY EYE CARE, LLC |
| Entity type: | Organization |
| Organization Name: | CLEAR VIEW FAMILY EYE CARE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OPTOMETRIST/OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SARA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SHEETS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | BA, OD |
| Authorized Official - Phone: | 360-216-9172 |
| Mailing Address - Street 1: | 9701 NE 108TH CT |
| Mailing Address - Street 2: | |
| Mailing Address - City: | VANCOUVER |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 98662-3384 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 360-216-9172 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 9701 NE 108TH CT |
| Practice Address - Street 2: | |
| Practice Address - City: | VANCOUVER |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98662-3384 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 360-216-9172 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2016-08-31 |
| Last Update Date: | 2016-08-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WA | OD00004154 | 152W00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Multi-Specialty |