Clarity Advanced Eyecare, PLLC
Organization Active NPI Optometrist · South Lyon, MI
NPI 1336286012 · NPPES record last updated Aug 7, 2020
Key facts
- NPI
- 1336286012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CLARITY ADVANCED EYECARE, PLLC
- Practice address
- 608 N Lafayette St
South Lyon, MI 48178-2001 - Phone
- (248) 437-3351
- Fax
- (248) 437-0738
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Jared Thomas Most, OD
- Title
- Ceo/Owner
- Phone
- (517) 231-7422
Other NPIs on the same Medicare enrollment 2
Practitioners 3
-
Phillip R Elston, OD
-
Krystyn Kudla, O.D.
-
Wayne G Wilde, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141007001415 | MI | Part B Supplier - Clinic/Group Practice | 7416177894 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: South Lyon, MI; Walled Lake, MI; Waterford, MI; Birmingham, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
608 N Lafayette St
South Lyon, MI 48178-2001
Mailing address
608 N Lafayette St
South Lyon, MI 48178-2001
Phone (248) 437-3351
Other names
- Oakland Vision Services
Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.