Provider Demographics
NPI:1952558223
Name:CLARIN, ADAM J (OD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:CLARIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 SW 165TH TER
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3657
Mailing Address - Country:US
Mailing Address - Phone:954-816-3726
Mailing Address - Fax:
Practice Address - Street 1:14429 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7924
Practice Address - Country:US
Practice Address - Phone:305-253-2525
Practice Address - Fax:305-253-3174
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4306152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBO208ZMedicare PIN