Clear Vision Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12233T Issued in CA

Legal business name

CLEAR VISION OPTOMETRY, INC.

Practice address

5269 Lankershim Blvd
North Hollywood, CA 91601-3111

Phone

(818) 769-2020

NPI assigned

Aug 31, 2007

Last updated

Mar 9, 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

Leyen Tran, O.D.

Title

Owner

Phone

(818) 769-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clear Vision Optometry Inc

  dba Optical Solution Optometry

  • Optometrist
  • Los Angeles, CA
  • NPI 1255590394

  O20050413001271

  Same enrollment
• Clear Vision Optometry, Inc.

  dba Complete Eye Care Center Optometry

  • Optometrist
  • San Fernando, CA
  • NPI 1831145960

  O20050413001271

  Same enrollment

Tax ID family

Clear Vision Optometry Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clear Vision Optometry, Inc.

  • Optometrist
  • San Fernando, CA
  • NPI 1467647917
  NPD tax ID
• Clear Vision Optometry, Inc.

  dba Complete Eye Care Center Optometry

  • Optometrist
  • San Fernando, CA
  • NPI 1831145960
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristal C Kawamoto, O.D.

  • Optometrist
  • Reseda, CA
  • NPI 1730335845
  NPD (past)
• Andy Keith Kongsakul, O.D.

  • Optometrist
  • Reseda, CA
  • NPI 1497949267
  NPD (past)
• Thomas Kutrosky, O.D.

  • Optometrist
  • North Hollywood, CA
  • NPI 1326093303
  NPD (past)
• Mayra Carolina Lazo, OD

  • Optometrist
  • Reseda, CA
  • NPI 1023898566
  NPD (past)
• Gina C Shao, O.D.

  • Optometrist
  • Thousand Oaks, CA
  • NPI 1023113107
  NPD (past)
• Anne N. Shin, O.D.

  • Optometrist
  • N Hollywood, CA
  • NPI 1679742241
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1669666723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TRUMAN ST",
            "address_2": "STE E",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403237",
            "telephone_number": "818-361-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5269 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013111",
            "telephone_number": "818-769-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LEYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-769-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12233T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0122331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Clark
• Kairn S Clarke
• Claudia Tossolini
• Clear Lake Hospice Care
• Clear Solutions Hospice Inc
• CLHF Homes LLC
• Christy Cline
• Clinica Medica Internacional, Inc
• Clinica Medica Mi Pueblo, Medical Clinic, Inc
• Kayla Jessie Elizabeth Clokie, DDS

• Optometrist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.