Active NPI
Clear Vision Optometry Inc
Doing business as Optical Solution Optometry
- Optometrist
- Los Angeles, CA
National Provider Identifier
1255590394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12233T
- Legal business name
- CLEAR VISION OPTOMETRY INC
- Doing business as
- Optical Solution Optometry
- Practice address
- 2843 Hyperion Ave
Los Angeles, CA 90027-2505 - Phone
- (323) 663-6755
- NPI assigned
- Jun 4, 2008
- Last updated
- Jun 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leyen Tran, OD
- Title
- President
- Phone
- (323) 663-6755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12233T | CA | Primary |
Addresses
Primary practice location
2843 Hyperion Ave
Los Angeles, CA 90027-2505
Mailing address
2843 Hyperion Ave
Los Angeles, CA 90027-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0122332 | Medicaid | CA |
Other names 1
- Optical Solution Optometry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050413001271 | CA | Part B Supplier - Clinic/Group Practice | 8921045691 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Fernando, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Complete Eye Care Center Optometry
- Optometrist
- San Fernando, CA
- NPI 1831145960
O20050413001271
National Provider Directory
National Provider DirectoryLocations
2843 Hyperion Ave
Los Angeles, CA 90027
Phone (323) 663-6755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1255590394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 HYPERION AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2843 HYPERION AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272505",
"telephone_number": "323-663-6755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR VISION OPTOMETRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "LEYEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-663-6755",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12233T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0122332",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Optical Solution Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Susan Clayton, LMFT
- Clear Axis Health LLC
- Clear Mind Full Heart, a Licensed Clinical Social Work Corporation
- Clear Path Counseling
- Clear Recovery Center, LLC (Clear Recovery Center)
- Chayla Cleare
- William James Clearihue III, PH.D., CCA
- Clearmind Psychological Services, Inc
- Clearview Centers LLC (Clearview Outpatient - Los Angeles)
- Clearview Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.