NPIMap

Organization Active NPI

Clear Vision Associates PLLC

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1760805162
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7559TG Issued in TX
Legal business name
CLEAR VISION ASSOCIATES PLLC
Practice address
851 State Highway 121 Byp
Lewisville, TX 75067-4158
Phone
(972) 315-9603
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Paul Heeg, ODNPI 1275845661
Title
Owner
Phone
(518) 312-6923

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 7559TG TX Primary

Addresses

Primary practice location

851 State Highway 121 Byp
Lewisville, TX 75067-4158

Mailing address

851 State Highway 121 Byp
Lewisville, TX 75067-4158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141118002587 TX Part B Supplier - Clinic/Group Practice 7618199027 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
Practice locations: Coppell, TX; Flower Mound, TX; Lewisville, TX; The Colony, TX

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Clear Vision Associates PLLC3 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.

Locations

4897 State Highway 121
Ste 260
The Colony, TX 75056
Phone (469) 968-9852

Practitioners & affiliated clinicians

Practitioners 6

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": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1760805162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 STATE HIGHWAY 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 STATE HIGHWAY 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674158",
            "telephone_number": "972-315-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "HEEG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-312-6923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7559TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.