Provider Demographics
NPI:1720323306
Name:CLEARVIEW EYECARE, PLLC
Entity Type:Organization
Organization Name:CLEARVIEW EYECARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ANKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:360-392-8306
Mailing Address - Street 1:410 W. BAKERVIEW RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226
Mailing Address - Country:US
Mailing Address - Phone:360-392-8306
Mailing Address - Fax:360-778-1378
Practice Address - Street 1:410 W. BAKERVIEW RD
Practice Address - Street 2:SUITE 107
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226
Practice Address - Country:US
Practice Address - Phone:360-392-8306
Practice Address - Fax:360-778-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1747152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1093366Medicaid
WAG00100510Medicare UPIN