Provider Demographics
NPI:1255402707
Name:CLARITY EYE CENTER, P.C.
Entity type:Organization
Organization Name:CLARITY EYE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-641-1511
Mailing Address - Street 1:1235 S POWER RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3712
Mailing Address - Country:US
Mailing Address - Phone:480-641-1511
Mailing Address - Fax:480-641-4426
Practice Address - Street 1:1235 S POWER RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3712
Practice Address - Country:US
Practice Address - Phone:480-641-1511
Practice Address - Fax:480-641-4426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ850152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ46746Medicare UPIN
AZ61935Medicare ID - Type Unspecified