Clearview Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEARVIEW SURGERY CENTER, LLC

Practice address

2840 Juniper Dr
Lewiston, ID 83501-4719

Phone

(208) 746-5100

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Brenda Halen

Title

Office MGR

Phone

(208) 882-4662

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Clearview Surgery Center LLCCCN 13C0001076

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Bryan Leach, M.D

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1043379944
  Medicare reassignment NPD
• Shawn Charles Richards, M.D

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1598929796
  Medicare reassignment
• Tyra Darrean Ruberti

  • Hearing Instrument Specialist
  • Lewiston, ID
  • NPI 1548072077
  NPD
• Julia W Cheng

  • Audiologist
  • Moscow, ID
  • NPI 1013359546
  NPD (past)
• Katherine Michele Baughman Gleason, OD, FAAO

  • Optometrist
  • Hayden, ID
  • NPI 1720227010
  NPD (past)
• Jill Marie Lane, O.D.

  • Optometrist
  • Grangeville, ID
  • NPI 1427119254
  NPD (past)
• Brenda Lynn Offerdahl, O.D.

  • Optometrist
  • Lewiston, ID
  • NPI 1932154341
  NPD (past)
• David W. Wood, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Lewiston, ID
  • NPI 1518346816
  NPD (past)
• Katie Elaine White, AUD

  • Audiologist
  • Longview, WA
  • NPI 1134612823
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1265816003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W A ST",
            "address_2": "SUITE 202",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838436000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014719",
            "telephone_number": "208-746-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "HALEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "208-882-4662"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Christopher, B PHARM
• City of Lewiston
• Brandon W. Clark, LCSW
• Diane Clark, RN, BSN
• Jennifer Ann Clark
• Clearwater Counseling
• Clearwater Gastroenterology
• Clearwater Medical Center PLLC
• Clearwater Neurosciences PLLC
• Clearwater Neurosurgery & Spinal Surgery Associates PLLC

• Ambulatory Surgical Clinic/Center in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.