Organization Active NPI

Clear View Optical, S.C.

  • Optometrist
  • Sturgeon Bay, WI
National Provider Identifier
1871667220
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
582971 Issued in WI
Legal business name
CLEAR VIEW OPTICAL, S.C.
Practice address
1236 Green Bay Rd
Sturgeon Bay, WI 54235-3819
Phone
(920) 743-8884
Fax
(920) 743-2519
NPI assigned
Nov 19, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Michelle Marie Harper, O.D.NPI 1760440382
Title
President
Phone
(920) 743-8884

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
Optometrist 152W00000X 582971 WI 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) 743-8884

Other identifiers 1

IdentifierTypeStateIssuer
38720300MedicaidWI

Other names 1

  • Bay Vision Clinic, S.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071019000659 WI Part B Supplier - Clinic/Group Practice 7012003189 Receives reassigned benefits from 1 practitioner
Practice locations: Sturgeon Bay, WI
O20100930023282 WI DME Supplier - Physician - OptometristDME Supplier - Optician 7012003189 Practice locations: Sturgeon Bay, WI

National Provider Directory

National Provider Directory

Locations

1236 Green Bay Rd
Sturgeon Bay, WI 54235
Phone (920) 743-1340

Practitioners & affiliated clinicians

Practitioners 1

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": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1871667220",
    "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": "920-743-8884",
            "fax_number": "920-743-2519"
        },
        {
            "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": "920-743-8884",
            "fax_number": "920-743-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VIEW OPTICAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-743-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "582971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38720300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Vision Clinic, S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 4, 2010; 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.