Organization Active NPI

Clearly Lasik, Inc.

  • Ophthalmology Physician
  • Medford, OR
National Provider Identifier
1457518771
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26938 Issued in OR
Legal business name
CLEARLY LASIK, INC.
Practice address
1322 E McAndrews Rd
Suite 103
Medford, OR 97504-6177
Phone
(541) 779-5232
Fax
(541) 779-5246
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Christian Monea
Title
Coo/Cfo
Phone
(425) 525-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 26938 OR Primary

Addresses

Primary practice location

1322 E McAndrews Rd
Suite 103
Medford, OR 97504-6177

Mailing address

1322 E McAndrews Rd
Suite 103
Medford, OR 97504-6177
Phone (541) 779-5232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1457518771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD",
            "address_2": "SUITE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177",
            "telephone_number": "541-779-5232",
            "fax_number": "541-779-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD",
            "address_2": "SUITE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177",
            "telephone_number": "541-779-5232",
            "fax_number": "541-779-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLY LASIK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MONEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "425-525-2206"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "26938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.