Provider Demographics
NPI:1669876751
Name:CLEAR VIEW OPTICAL LLC
Entity type:Organization
Organization Name:CLEAR VIEW OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SLYCORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-300-7929
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-0391
Mailing Address - Country:US
Mailing Address - Phone:704-750-6164
Mailing Address - Fax:704-750-6134
Practice Address - Street 1:316 W KING ST
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-3344
Practice Address - Country:US
Practice Address - Phone:704-750-6164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier