Clear Choice Medical Distribution LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000050 Issued in TX

Legal business name

CLEAR CHOICE MEDICAL DISTRIBUTION LLC

Practice address

8868 Research Blvd
Ste. 302
Austin, TX 78758-6401

Phone

(512) 326-4714

Fax

(512) 326-4700

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa C Williams

Title

Administration

Phone

(512) 326-4714

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kelvin R. Williams, Sole Member Other name

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1629204185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8868 RESEARCH BLVD",
            "address_2": "STE. 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586401",
            "telephone_number": "512-326-4714",
            "fax_number": "512-326-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8868 RESEARCH BLVD",
            "address_2": "STE. 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586401",
            "telephone_number": "512-326-4714",
            "fax_number": "512-326-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE MEDICAL DISTRIBUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "512-326-4714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168772502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168772501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelvin R. Williams, Sole Member",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackenzie Clayton, DDS
• Molly Clayton, LMSW
• Molly Clayton, APRN
• Denise J Clazel, RN, MSN, IBCLC, CCM
• Clean Investments Inc.
• Clear Mind Collective Psychology Group, PLLC
• Clear Mind Therapy PLLC
• Clear Path Screening Services TX, LLC
• Clear Point Wellness, PLLC
• Clear Vision Optometry, P.C.

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.