Organization Active NPI

Sight and Sun Eyeworks LLC

Doing business as Clarkson Eye Care

  • Optometrist
  • Navarre, FL
National Provider Identifier
1912066119
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIGHT AND SUN EYEWORKS LLC
Doing business as
Clarkson Eye Care
Practice address
8050 Navarre Pkwy
Navarre, FL 32566-7550
Phone
(636) 200-4393
Fax
(850) 939-8161
NPI assigned
Dec 6, 2006
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SIGHT AND SUN EYEWORKS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Edith Viviana Salas, AMA, CPO
Title
Credentialing Coordinator
Phone
(850) 479-7379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8050 Navarre Pkwy
Navarre, FL 32566-7550

Mailing address

15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (850) 479-7379

Other identifiers 2

IdentifierTypeStateIssuer
001650400MedicaidFL
97937OtherFLFLORIDA BLUE

Other names 1

  • CLARKSON EYE CARE Doing business as

National Provider Directory

National Provider Directory
Part of
Sight Sun Eyeworks

Locations

8158 Navarre Pkwy
Ste B
Navarre, FL 32566
Phone (850) 939-3459

Practitioners & affiliated clinicians

Practitioners 2

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1912066119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "850-479-7379",
            "fax_number": "850-497-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667550",
            "telephone_number": "636-200-4393",
            "fax_number": "850-939-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGHT AND SUN EYEWORKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGHT AND SUN EYEWORKS LLC",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "VIVIANA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "850-479-7379",
        "authorized_official_credential": "AMA, CPO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001650400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "97937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKSON EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLARKSON EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.