Clear Vision Optometry, P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00004009 Issued in WA

Legal business name

CLEAR VISION OPTOMETRY, P.S.

Practice address

10219 196TH St CT E
Suite # a, Mail Box # 2
Graham, WA 98338-0118

Phone

(253) 271-7313

Fax

(206) 333-0978

NPI assigned

Jan 22, 2007

Last updated

Jul 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeanette Pham, O.D.

Title

President

Phone

(253) 210-2006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1568516359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 196TH ST CT E",
            "address_2": "SUITE # A, MAIL BOX # 2",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983380118",
            "telephone_number": "253-271-7313",
            "fax_number": "206-333-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 196TH ST CT E",
            "address_2": "SUITE # A, MAIL BOX # 2",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983380118",
            "telephone_number": "253-271-7313",
            "fax_number": "206-333-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION OPTOMETRY, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-210-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamilex Castro
• Susan Cha, DDS
• John T Chen, DDS
• Clark Therapeutic Massage
• Clear Vision Family PLLC
• Community Health Care (Graham Kapowsin Dental)
• Community Health Care (Graham-Kapowsin)
• Matthew B Conant, PT
• Confidential Associates, LLC
• Stanley Conklin, LPN

• Optometrist in Graham, WA
• Providers in Graham, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.