Clearvista Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CLEARVISTA EYECARE PLLC

Practice address

2441 Market St NE
Washington, DC 20018-3840

Phone

(571) 305-0400

NPI assigned

Nov 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shirley De la Rosa, OD

Title

Owner

Phone

(571) 305-0400

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1952067928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S WEST ST STE 751",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142824",
            "telephone_number": "571-305-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 MARKET ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183840",
            "telephone_number": "571-305-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVISTA EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-305-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Uprise.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2441 Market St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200183840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sasha Clayton, LCSW
• Risa Claytor, MD
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• Clearmind Holistic Psychiatry PLLC
• Clearpath Medical LLC
• Anaya Rayelle Cleckley
• Eric Cleckley
• Lacey D Cleckley
• Rashida Twiggs Clegg, LPC
• Shirley Clegg

• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.