Provider Demographics
NPI:1922204056
Name:CLEAR VIEW EYE CLINIC, INC
Entity Type:Organization
Organization Name:CLEAR VIEW EYE CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:641-425-5916
Mailing Address - Street 1:1521 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-1411
Mailing Address - Country:US
Mailing Address - Phone:641-425-5916
Mailing Address - Fax:
Practice Address - Street 1:595 S ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-4441
Practice Address - Country:US
Practice Address - Phone:641-425-5916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty