NPIMap

Organization Active NPI

Clear Vision Associates PLLC

  • Optometrist
  • Coppell, TX
National Provider Identifier
1164839221
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7559TG Issued in TX
Legal business name
CLEAR VISION ASSOCIATES PLLC
Practice address
220 S Denton Tap Rd
Suite 204
Coppell, TX 75019-5038
Phone
(903) 707-7020
Fax
(866) 925-8070
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Dr. Paul HeegNPI 1275845661
Title
Owner
Phone
(518) 312-6923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7559TG TX Primary

Addresses

Primary practice location

220 S Denton Tap Rd
Suite 204
Coppell, TX 75019-5038

Mailing address

220 S Denton Tap Rd
Suite 204
Coppell, TX 75019-5038
Phone (903) 707-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141118002587 TX Part B Supplier - Clinic/Group Practice 7618199027 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coppell, TX; Flower Mound, TX; Lewisville, TX; The Colony, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clear Vision Associates PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1164839221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD",
            "address_2": "SUITE 204",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195038",
            "telephone_number": "903-707-7020",
            "fax_number": "866-925-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD",
            "address_2": "SUITE 204",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195038",
            "telephone_number": "903-707-7020",
            "fax_number": "866-925-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "HEEG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-312-6923",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7559TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.