Provider Demographics
NPI:1831746437
Name:CLEAR CHOICE EYE CARE, INC.
Entity type:Organization
Organization Name:CLEAR CHOICE EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-716-6433
Mailing Address - Street 1:906 GREAT EAST PLZ
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4818
Mailing Address - Country:US
Mailing Address - Phone:330-505-1327
Mailing Address - Fax:
Practice Address - Street 1:906 GREAT EAST PLZ
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4818
Practice Address - Country:US
Practice Address - Phone:330-505-1327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty