Organization Active NPI

Clear Vision Ophthalmology PLLC

  • Ophthalmology Physician
  • Jackson Heights, NY
National Provider Identifier
1700206067
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
267134 Issued in NY
Legal business name
CLEAR VISION OPHTHALMOLOGY PLLC
Practice address
7910 34TH Ave Ste 1Y
Jackson Heights, NY 11372-2420
Phone
(718) 429-2470
Fax
(718) 247-9793
NPI assigned
Apr 24, 2014
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Monica Sidharaj Patel, M.D.NPI 1295070910
Title
President
Phone
(718) 429-2470

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
Ophthalmology Physician 207W00000X 267134 NY Primary

Addresses

Primary practice location

7910 34TH Ave Ste 1Y
Jackson Heights, NY 11372-2420

Mailing address

7910 34TH Ave Ste 1Y
Jackson Heights, NY 11372-2420
Phone (718) 429-2470

Other identifiers 2

IdentifierTypeStateIssuer
03541339MedicaidNY
04003485MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150413000908 NY Part B Supplier - Clinic/Group Practice 0345568895 Receives reassigned benefits from 4 practitioners
Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

7910 34th Ave
Ste 1Y
Jackson Hts, NY 11372
Phone (718) 429-2470

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1700206067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 34TH AVE STE 1Y",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722420",
            "telephone_number": "718-429-2470",
            "fax_number": "718-247-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 34TH AVE STE 1Y",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722420",
            "telephone_number": "718-429-2470",
            "fax_number": "718-247-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "SIDHARAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-429-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "267134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03541339",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04003485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.