Organization Active NPI

Clear View Optical

  • Optometrist
  • Bronx, NY
National Provider Identifier
1003908278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T003850-1 Issued in NY
Legal business name
CLEAR VIEW OPTICAL
Practice address
707 Burke Ave
Bronx, NY 10467-6609
Phone
(718) 547-1600
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Summer Chatman, O.D.NPI 1437161619
Title
Co-Owner
Phone
(718) 547-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T003850-1 NY Primary

Addresses

Primary practice location

707 Burke Ave
Bronx, NY 10467-6609

Mailing address

11155 77TH Ave
Apt. #1C
Forest Hills, NY 11375-7035
Phone (718) 793-3096

Other identifiers 1

IdentifierTypeStateIssuer
02360341MedicaidNY

National Provider Directory

National Provider Directory

Locations

707 Burke Ave
Bronx, NY 10467
Phone (718) 547-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003908278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 77TH AVE",
            "address_2": "APT. #1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757035",
            "telephone_number": "718-793-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BURKE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676609",
            "telephone_number": "718-547-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VIEW OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SUMMER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "718-547-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T003850-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02360341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.