Provider Demographics
NPI:1821377185
Name:CLEARSIGHT EYECARE, LLC
Entity Type:Organization
Organization Name:CLEARSIGHT EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:320-224-0610
Mailing Address - Street 1:111 S 24TH ST W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-5600
Mailing Address - Country:US
Mailing Address - Phone:406-656-2006
Mailing Address - Fax:
Practice Address - Street 1:111 S 24TH ST W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5600
Practice Address - Country:US
Practice Address - Phone:406-656-2006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT831152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty