Provider Demographics
NPI:1740794056
Name:CLEAR VISION ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CLEAR VISION ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTEBAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-287-3937
Mailing Address - Street 1:5990 DAHLIA ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-3708
Mailing Address - Country:US
Mailing Address - Phone:303-287-3937
Mailing Address - Fax:720-729-8262
Practice Address - Street 1:3301 TOWER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-3509
Practice Address - Country:US
Practice Address - Phone:303-307-0200
Practice Address - Fax:720-729-8262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEAR VISION ASSOCIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center