Organization Active NPI

Clear Image Eyecare, LLC

  • Optometrist
  • Worthington, OH
National Provider Identifier
1528079498
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5318 Issued in OH
Legal business name
CLEAR IMAGE EYECARE, LLC
Practice address
6877 N High St
Suite 100
Worthington, OH 43085-2516
Phone
(614) 885-7997
Fax
(614) 885-8595
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. Donald J Kamer, O.D.
Title
Owner
Phone
(614) 885-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5318 OH Primary

Addresses

Primary practice location

6877 N High St
Suite 100
Worthington, OH 43085-2516

Mailing address

6877 N High St
Suite 100
Worthington, OH 43085-2516
Phone (614) 885-7997

Other identifiers 1

IdentifierTypeStateIssuer
2345895MedicaidOH

National Provider Directory

National Provider Directory

Locations

55 Caren Ave
Ste 350
Worthington, OH 43085
Phone (614) 885-7997

Practitioners & affiliated clinicians

Practitioners 3

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1528079498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6877 N HIGH ST",
            "address_2": "SUITE 100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852516",
            "telephone_number": "614-885-7997",
            "fax_number": "614-885-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6877 N HIGH ST",
            "address_2": "SUITE 100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852516",
            "telephone_number": "614-885-7997",
            "fax_number": "614-885-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR IMAGE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "KAMER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-885-7997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.