NPIMap

Organization Active NPI

Clear Vision Eyecare LLC

  • Optometrist
  • Columbia, MD
National Provider Identifier
1447770540
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2038 Issued in MD
Legal business name
CLEAR VISION EYECARE LLC
Practice address
10801 Hickory Ridge Rd Ste 200
Columbia, MD 21044-3871
Phone
(410) 997-1800
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Hetal Rana, ODNPI 1497865810
Title
Optometrist
Phone
(201) 400-2113

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 TA2038 MD Primary

Addresses

Primary practice location

10801 Hickory Ridge Rd Ste 200
Columbia, MD 21044-3871

Mailing address

7721 Old Woodstock LN
Ellicott City, MD 21043-6980
Phone (201) 400-2113

Other names 1

  • Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726002706 MD Part B Supplier - Clinic/Group Practice 5597035311 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

10801 Hickory Ridge Rd
Ste 200
Columbia, MD 21044
Phone (410) 300-7462

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1447770540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 OLD WOODSTOCK LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436980",
            "telephone_number": "201-400-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443871",
            "telephone_number": "410-997-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "HETAL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "201-400-2113",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.