Provider Demographics
NPI:1720509573
Name:CLEAR VISION CORPORATION
Entity Type:Organization
Organization Name:CLEAR VISION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-526-3331
Mailing Address - Street 1:215 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1903
Mailing Address - Country:US
Mailing Address - Phone:312-526-3331
Mailing Address - Fax:312-526-3966
Practice Address - Street 1:215 W 23RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-1903
Practice Address - Country:US
Practice Address - Phone:312-526-3331
Practice Address - Fax:312-526-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier