Provider Demographics
NPI:1760859771
Name:EVERCLEAR EYES, P.C.
Entity Type:Organization
Organization Name:EVERCLEAR EYES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BARBASH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-620-2067
Mailing Address - Street 1:1837 GARNER LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-1698
Mailing Address - Country:US
Mailing Address - Phone:407-620-2067
Mailing Address - Fax:
Practice Address - Street 1:701 LYNNHAVEN PKWY
Practice Address - Street 2:F85
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7299
Practice Address - Country:US
Practice Address - Phone:757-340-3853
Practice Address - Fax:757-340-3854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001610152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty