Organization Active NPI

Clear Vision Pediatric Ophthalmology Center, PLLC

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1568131936
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CLEAR VISION PEDIATRIC OPHTHALMOLOGY CENTER, PLLC
Practice address
4707 Everhart Rd Ste 108
Corpus Christi, TX 78411-2751
Phone
(361) 857-6600
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Charlotte M Akor, MDNPI 1457314387
Title
MD
Phone
(325) 261-3131

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0110X

Addresses

Primary practice location

4707 Everhart Rd Ste 108
Corpus Christi, TX 78411-2751

Mailing address

4707 Everhart Rd Ste 108
Corpus Christi, TX 78411-2751
Phone (361) 857-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211124000040 TX Part B Supplier - Clinic/Group Practice 3779973292 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

1017 Airline Rd
Corpus Christi, TX 78412
Phone (361) 857-6600

4707 Everhart Rd
Ste 108
Corpus Christi, TX 78411
Phone (361) 857-6600

Practitioners & affiliated clinicians

Practitioners 1

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": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1568131936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EVERHART RD STE 108",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112751",
            "telephone_number": "361-857-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EVERHART RD STE 108",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112751",
            "telephone_number": "361-857-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION PEDIATRIC OPHTHALMOLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "AKOR",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "325-261-3131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.