Provider Demographics
NPI:1720237951
Name:CLEARVIEW OPTICAL INC
Entity Type:Organization
Organization Name:CLEARVIEW OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REESE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:801-266-2020
Mailing Address - Street 1:201 E 5900 S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5428
Mailing Address - Country:US
Mailing Address - Phone:801-266-2020
Mailing Address - Fax:801-268-6602
Practice Address - Street 1:201 E 5900 S
Practice Address - Street 2:SUITE 101
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5428
Practice Address - Country:US
Practice Address - Phone:801-266-2020
Practice Address - Fax:801-268-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0704130001Medicare NSC