Provider Demographics
NPI:1821402181
Name:CLEARVISION EYE CENTERS CLARK COUNTY LLP
Entity Type:Organization
Organization Name:CLEARVISION EYE CENTERS CLARK COUNTY LLP
Other - Org Name:CLEARVISION EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-460-1709
Mailing Address - Street 1:2461 W HORIZON RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5943
Mailing Address - Country:US
Mailing Address - Phone:702-636-2020
Mailing Address - Fax:702-616-2133
Practice Address - Street 1:2461 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5943
Practice Address - Country:US
Practice Address - Phone:702-636-2020
Practice Address - Fax:702-616-2133
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEARVISION EYE CENTERS CLARK COUNTY LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV234152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty