Provider Demographics
NPI:1699000257
Name:CLEARVIEW OPTICS
Entity Type:Organization
Organization Name:CLEARVIEW OPTICS
Other - Org Name:STERLING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONNELL
Authorized Official - Middle Name:PRINCETON
Authorized Official - Last Name:NANCE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-916-3261
Mailing Address - Street 1:5924 FENWICK AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2406
Mailing Address - Country:US
Mailing Address - Phone:410-916-3261
Mailing Address - Fax:
Practice Address - Street 1:3801 BRANCH AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1415
Practice Address - Country:US
Practice Address - Phone:301-899-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty