Provider Demographics
NPI:1962840108
Name:CLARITAS VISION CARE P.C.
Entity Type:Organization
Organization Name:CLARITAS VISION CARE P.C.
Other - Org Name:EYE CARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HUGHSTON
Authorized Official - Last Name:LEISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-202-3937
Mailing Address - Street 1:9565 S 700 E STE 101
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-3482
Mailing Address - Country:US
Mailing Address - Phone:385-202-3937
Mailing Address - Fax:385-212-2484
Practice Address - Street 1:9565 S 700 E STE 101
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-3482
Practice Address - Country:US
Practice Address - Phone:801-572-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1962840108Medicaid
U000079057OtherMEDICARE PTAN