Organization Active NPI

Clarity Eye Center PA

  • Optometrist
  • Orange Park, FL
National Provider Identifier
1902438286
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARITY EYE CENTER PA
Practice address
1075 Oakleaf Plantation Pkwy Ste 300
Orange Park, FL 32065-3625
Phone
(334) 467-9776
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Dr. Chandra M Williams, O.D.NPI 1720179997
Title
President
Phone
(334) 467-9776

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 Primary

Addresses

Primary practice location

1075 Oakleaf Plantation Pkwy Ste 300
Orange Park, FL 32065-3625

Mailing address

4133 Eagle Landing Pkwy
Orange Park, FL 32065-2634

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315000400 FL Part B Supplier - Clinic/Group Practice 2163896101 Receives reassigned benefits from 3 practitioners
Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

Locations

1075 Oakleaf Plantation Pkwy
Ste 300
Orange Park, FL 32065
Phone (334) 467-9776

Practitioners & affiliated clinicians

Practitioners 3

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": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1902438286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 EAGLE LANDING PKWY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653625",
            "telephone_number": "334-467-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-467-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.