Provider Demographics
NPI:1356559231
Name:CLEAR VISION EYECARE PLLC.
Entity type:Organization
Organization Name:CLEAR VISION EYECARE PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:QUY
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-602-4545
Mailing Address - Street 1:5224 SOUTH STATE HIGHWAY 360
Mailing Address - Street 2:STE. 200
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052
Mailing Address - Country:US
Mailing Address - Phone:972-602-4545
Mailing Address - Fax:972-602-4546
Practice Address - Street 1:5224 S STATE HIGHWAY 360
Practice Address - Street 2:STE. 200
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-0950
Practice Address - Country:US
Practice Address - Phone:972-602-4545
Practice Address - Fax:972-602-4546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty