Clear Vision Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12233T Issued in CA

Legal business name

CLEAR VISION OPTOMETRY, INC.

Practice address

1101 Truman St
Suite E
San Fernando, CA 91340-3237

Phone

(818) 361-2020

Fax

(818) 361-6381

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Leyen LimNPI 1831160969

Title

President

Phone

(818) 361-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Complete Eye Care Center Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Clear Vision Optometry Inc

  • Optometrist
  • Los Angeles, CA
  • NPI 1255590394

  O20050413001271

  Same enrollment
• Clear Vision Optometry, Inc.

  • Optometrist
  • North Hollywood, CA
  • NPI 1669666723

  O20050413001271

  Same enrollment

Tax ID family

Clear Vision Optometry Inc3 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.

• Clear Vision Optometry, Inc.

  • Optometrist
  • San Fernando, CA
  • NPI 1467647917
  NPD tax ID
• Clear Vision Optometry, Inc.

  • Optometrist
  • North Hollywood, CA
  • NPI 1669666723
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leyen Lim, O.D.

  • Optometrist
  • San Fernando, CA
  • NPI 1831160969
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1831145960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TRUMAN ST",
            "address_2": "SUITE E",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403237",
            "telephone_number": "818-361-2020",
            "fax_number": "818-361-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TRUMAN ST",
            "address_2": "SUITE E",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403237",
            "telephone_number": "818-361-2020",
            "fax_number": "818-361-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "LEYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-361-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12233T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0122332",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0122330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Eye Care Center Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Therese Chicco, PA
• Seung Choi, FNP-C
• Anika Sonia Chowdhury
• Brittani Jolai Clark, CPNP-PC
• Clear Vision Optometry, Inc.
• Cory Clement, D.P.M.
• Coastal Neurological Medical Center Inc.
• Adriana Cobian, N.P.
• Monika Coello, BCBA
• Thomas James Colivas, P.A.

• Optometrist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.