Provider Demographics
NPI:1679098826
Name:CLARIFEYE TOTAL EYE CARE, PLLC
Entity Type:Organization
Organization Name:CLARIFEYE TOTAL EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPEUTIC OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HANG
Authorized Official - Middle Name:TUYET
Authorized Official - Last Name:KRETZSCHMAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:936-267-0190
Mailing Address - Street 1:2956 INTERSTATE 45 N STE 700B
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77303-7903
Mailing Address - Country:US
Mailing Address - Phone:936-267-0190
Mailing Address - Fax:713-589-8554
Practice Address - Street 1:2956 INTERSTATE 45 N STE 700B
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77303-7903
Practice Address - Country:US
Practice Address - Phone:936-267-0190
Practice Address - Fax:713-589-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9022TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX375799901Medicaid