C Clearly Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 005958 Issued in NY

Legal business name

C CLEARLY INC

Practice address

4814 Skillman Ave
Sunnyside, NY 11104-1026

Phone

(347) 848-0982

NPI assigned

Mar 1, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christa J Cavallaro, ODNPI 1588732721

Title

President

Phone

(917) 687-8153

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christa J Cavallaro, O.D.

  • Optometrist
  • Sunnyside, NY
  • NPI 1588732721
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013215037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041026",
            "telephone_number": "917-687-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041026",
            "telephone_number": "347-848-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CLEARLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-687-8153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 005958",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerina Bojovic, OTR
• Boulevard Scripts Inc
• Dora Glenn Bowman, LCSW
• Laura Jean Brennan, NP
• Laura Buziashvilli
• Cactus Pear Services Inc
• Caduceus Medical Care LLC
• Maria Gabrielle Caguete
• Paulina Alicia Campbell-Richards
• Diane Capasella, SLP

• Optometrist in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.