Provider Demographics
NPI:1982643334
Name:CLARITY EYE CENTER INC.
Entity Type:Organization
Organization Name:CLARITY EYE CENTER INC.
Other - Org Name:CLARITY EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOVRONSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-477-4515
Mailing Address - Street 1:23 BEECH TREE DR
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1172
Mailing Address - Country:US
Mailing Address - Phone:302-477-4515
Mailing Address - Fax:302-477-4516
Practice Address - Street 1:1401 FOULK RD
Practice Address - Street 2:SUITE 105
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2763
Practice Address - Country:US
Practice Address - Phone:302-477-4515
Practice Address - Fax:302-477-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10007264207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000035854Medicaid
DE1000035854Medicaid