Provider Demographics
NPI:1841425899
Name:CLARIS EYE CARE & SURGERY, P.A.
Entity type:Organization
Organization Name:CLARIS EYE CARE & SURGERY, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-522-4900
Mailing Address - Street 1:14101 FAIRVIEW DR STE 350
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2506
Mailing Address - Country:US
Mailing Address - Phone:952-522-4900
Mailing Address - Fax:952-522-4901
Practice Address - Street 1:14101 FAIRVIEW DR STE 350
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2506
Practice Address - Country:US
Practice Address - Phone:952-522-4900
Practice Address - Fax:952-522-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN28116207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty