Clariti Inc.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

01034586A Issued in IN

Legal business name

CLARITI INC.

Practice address

481 S Landmark Ave
Bloomington, IN 47403-5005

Phone

(812) 331-8181

Fax

(812) 331-8180

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Michael Fornefeld, M.D.NPI 1881676807

Title

President

Phone

(812) 331-8181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Matthew Michael Fornefeld, M.D.

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1881676807
  NPD Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1073708483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035005",
            "telephone_number": "812-331-8181",
            "fax_number": "812-331-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035005",
            "telephone_number": "812-331-8181",
            "fax_number": "812-331-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "FORNEFELD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-331-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "IN",
            "license": "01034586A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Clampitt
• Joshua Clampitt, DC
• Steven Wade Clapp, MD
• Matthew Howard Clardy, PMHNP
• Gail Padish Clarin, AU.D.
• Clark Brittain DO PC
• Amanda J Clark, PT
• Christopher Anderson Clark, OD
• Gregory Scott Clark, LCSW
• Jared Michael Clark

• Ophthalmologic Surgery Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Ophthalmologic Surgery Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.