Organization Active NPI

Clearsight Vision Care LLC

  • Optometrist
  • Wakefield, MA
National Provider Identifier
1679300057
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLEARSIGHT VISION CARE LLC
Practice address
22 Yale Ave
Wakefield, MA 01880-2309
Phone
(781) 245-1871
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Dr. Donna Vann, ODNPI 1902188477
Title
Optometrist
Phone
(781) 245-1871

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 1

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

Addresses

Primary practice location

22 Yale Ave
Wakefield, MA 01880-2309

Mailing address

22 Yale Ave
Wakefield, MA 01880-2309
Phone (781) 245-1871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113002505 MA Part B Supplier - Clinic/Group Practice 8426582495 Receives reassigned benefits from 1 practitioner
Practice locations: Wakefield, MA

National Provider Directory

National Provider Directory

Locations

22 Yale Ave
Wakefield, MA 01880
Phone (781) 245-1871

Practitioners & affiliated clinicians

Practitioners 2

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1679300057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 YALE AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802309",
            "telephone_number": "781-245-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 YALE AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802309",
            "telephone_number": "781-245-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSIGHT VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "781-245-1871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.