Active NPI
Clear View Optical, S.C.
- Optometrist
- Sturgeon Bay, WI
National Provider Identifier
1871667220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 582971
- 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, 2010
- 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
- Dr. Michelle Marie Harper, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38720300 | Medicaid | WI |
Other names 1
- Bay Vision Clinic, S.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Sturgeon Bay, WI
- NPI 1760440382
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.