Provider Demographics
NPI:1265061170
Name:CLARITY VISION CARE LLC
Entity type:Organization
Organization Name:CLARITY VISION CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:360-812-7015
Mailing Address - Street 1:4125 ARCTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-9325
Mailing Address - Country:US
Mailing Address - Phone:626-278-6679
Mailing Address - Fax:
Practice Address - Street 1:4125 ARCTIC AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-9325
Practice Address - Country:US
Practice Address - Phone:360-812-7015
Practice Address - Fax:360-812-7019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service