Active NPI
Clear View Optical Inc.
- Optician
- Sturgeon Bay, WI
National Provider Identifier
1710084397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- CLEAR VIEW OPTICAL INC.
- Practice address
- 1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819 - Phone
- (920) 743-1340
- Fax
- (920) 743-1340
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward Lyle Beierlein, A.B.O.C.
- Title
- Optician
- Phone
- (920) 743-1340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819
Mailing address
1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819
Phone (920) 743-1340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38441300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710084397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 GREEN BAY RD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353819",
"telephone_number": "920-743-1340",
"fax_number": "920-743-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 GREEN BAY RD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353819",
"telephone_number": "920-743-1340",
"fax_number": "920-743-1340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR VIEW OPTICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEIERLEIN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LYLE",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "920-743-1340",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "A.B.O.C."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38441300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.