Organization Active NPI

Clear Vision, LLC

Doing business as Cohen's Fashion Optical

  • Eyewear Supplier
  • Boston, MA
National Provider Identifier
1073815312
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MA4558 Issued in MA
Legal business name
CLEAR VISION, LLC
Doing business as
Cohen's Fashion Optical
Practice address
328 Washington St
Boston, MA 02109
Phone
(617) 542-9221
Fax
(617) 542-9216
NPI assigned
Nov 18, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Darryl Grace
Title
Dr/Owner
Phone
(617) 542-9221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MA4558 MA Primary

Addresses

Primary practice location

328 Washington St
Boston, MA 02109

Mailing address

328 Washington St
Boston, MA 02109
Phone (617) 542-9221

Other identifiers 1

IdentifierTypeStateIssuer
0719528MedicaidMA

Other names 1

  • Cohen's Fashion Optical Doing business as

National Provider Directory

National Provider Directory

Locations

328 Washington St
Boston, MA 02135
Phone (617) 542-9221

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1073815312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-542-9221",
            "fax_number": "617-542-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-542-9221",
            "fax_number": "617-542-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "617-542-9221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "MA4558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719528",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.