Provider Demographics
NPI:1013096700
Name:CLEARER VISION, LLC
Entity type:Organization
Organization Name:CLEARER VISION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-646-7058
Mailing Address - Street 1:1125 PERIMETER PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0912
Mailing Address - Country:US
Mailing Address - Phone:931-646-7058
Mailing Address - Fax:931-646-7059
Practice Address - Street 1:1125 PERIMETER PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0912
Practice Address - Country:US
Practice Address - Phone:931-646-7058
Practice Address - Fax:931-646-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3288083Medicaid
TN3288083Medicaid