NPIMap

Organization Active NPI

Clearvision Eye Center

  • Optometrist
  • Henderson, NV
National Provider Identifier
1154741627
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0549 Issued in NV
Legal business name
CLEARVISION EYE CENTER
Practice address
143 S Water St
Henderson, NV 89015-7203
Phone
(702) 944-9446
NPI assigned
Apr 23, 2014
Organization subpart
Yes
Parent organization
CLEARVISION EYE CENTERS CLARK COUNTY LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Jonathan Mark Christiansen, OD
Title
President
Phone
(714) 356-8451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0549 NV Primary

Addresses

Primary practice location

143 S Water St
Henderson, NV 89015-7203

Mailing address

143 S Water St
Henderson, NV 89015-7203
Phone (702) 944-9446

National Provider Directory

National Provider Directory
Part of
Clear Vision Eye Centers

Locations

2675 E Flamingo Rd
Ste 10
Las Vegas, NV 89121
Phone (702) 737-0097

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1154741627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157203",
            "telephone_number": "702-944-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157203",
            "telephone_number": "702-944-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVISION EYE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARVISION EYE CENTERS CLARK COUNTY LLP",
        "enumeration_date": "2014-04-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-356-8451",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "0549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.