C Klear Vision Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

C KLEAR VISION INC.

Practice address

12400 Cantrell Rd Ste 4
Little Rock, AR 72223-1728

Phone

(501) 764-8216

NPI assigned

Sep 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Celina Cecile Watson, O.D.NPI 1952614869

Title

President

Phone

(501) 764-8245

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• C Klear Vision Optique Other name

Medicare fee-for-service enrollment

Enrolled in AR

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.

• Celina Cecile Watson, O.D.

  • Optometrist
  • Little Rock, AR
  • NPI 1952614869
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1023592987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 CANTRELL RD STE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231728",
            "telephone_number": "501-414-8923",
            "fax_number": "501-353-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 CANTRELL RD STE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231728",
            "telephone_number": "501-764-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C KLEAR VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CELINA",
        "authorized_official_middle_name": "CECILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-764-8245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185154722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5V265",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C Klear Vision Optique",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C Klear Vision Optique",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel Byrd, MD
• Traci Elizabeth Byrd, ATC, CSCS
• Rajasekhar Reddy Byreddy
• Courtney Byrum, MS, RD, LD
• Jerry Douglas Byrum, MD
• C W Bennett & Associates, PLLC
• C. Ed Knight, D.D.S., P.a.
• C&K Transportation Service, LLC
• Anna Mishka Cabana, PT
• Jose Diego Caceres, M.D.

• Optometrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.