Provider Demographics
NPI:1740792738
Name:CLEAR VISION EXPRESS LAREDO 3 LLC
Entity Type:Organization
Organization Name:CLEAR VISION EXPRESS LAREDO 3 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-795-8310
Mailing Address - Street 1:5401 MCPHERSON RD STE 13
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6834
Mailing Address - Country:US
Mailing Address - Phone:956-704-5014
Mailing Address - Fax:
Practice Address - Street 1:9902 MCPHERSON RD STE 14&15
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6545
Practice Address - Country:US
Practice Address - Phone:956-795-8310
Practice Address - Fax:956-795-8313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty