Clear Vision Eye Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

213234 Issued in GA

Legal business name

CLEAR VISION EYE CENTER

Doing business as

clear vision eye center

Practice address

1817A Candler Rd
Decatur, GA 30032-4162

Phone

(404) 534-2020

Fax

(404) 534-2025

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By 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

Mrs. Delores Peterson

Title

Manger/Owner

Phone

(404) 534-2020

Specialties & licenses 1

Addresses

Other names 1

• clear vision eye center Doing business as

Locations

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1720248669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817A CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324162",
            "telephone_number": "404-534-2020",
            "fax_number": "404-534-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817A CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324162",
            "telephone_number": "404-534-2020",
            "fax_number": "404-534-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "MANGER/OWNER",
        "authorized_official_telephone_number": "404-534-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "213234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clear vision eye center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross Jameson Clark, NP-C
• Sharronda Renee Clark, FNP
• Tamika Tashell Clark, LPC
• Alexis Clarke, BACHELOR OF SCIENCE
• Sakinah Clarke
• Suzette Andrean Clements, D.P.M.,
• Shanard Clemons, LPC
• Tiffany A Clerk, DPT
• Amber Cleveland Lewter, LPC
• Karen Elizabeth Cleveland-Ward, LMSW

• Health Maintenance Organization in Decatur, GA
• Providers in Decatur, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.