Provider Demographics
NPI:1205533809
Name:CLEARVIEW OPTICAL
Entity type:Organization
Organization Name:CLEARVIEW OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:REED
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:770-530-2281
Mailing Address - Street 1:119 MAIN ST NW
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3614
Mailing Address - Country:US
Mailing Address - Phone:470-623-2020
Mailing Address - Fax:470-892-5831
Practice Address - Street 1:119 MAIN ST NW
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3614
Practice Address - Country:US
Practice Address - Phone:470-623-2020
Practice Address - Fax:470-892-5831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty