Organization Active NPI

Clarity Eyecare Services, LLC

  • Optometrist
  • Huntley, IL
National Provider Identifier
1972870319
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010486 Issued in IL
Legal business name
CLARITY EYECARE SERVICES, LLC
Practice address
11000 Bayou CT
Huntley, IL 60142-8186
Phone
(847) 668-7365
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Tafadzwa Makoni, O.DNPI 1114215530
Title
President
Phone
(847) 668-7365

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 046010486 IL Primary

Addresses

Primary practice location

11000 Bayou CT
Huntley, IL 60142-8186

Mailing address

11000 Bayou CT
Huntley, IL 60142-8186
Phone (847) 668-7365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000630 IL Part B Supplier - Clinic/Group Practice 3870760465 Receives reassigned benefits from 1 practitioner
Practice locations: South Elgin, IL; Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

1520 Carlemont Dr
Ste L
Crystal Lake, IL 60014
Phone (815) 420-5000

Practitioners & affiliated clinicians

Practitioners 3

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1972870319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 BAYOU CT",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428186",
            "telephone_number": "847-668-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 BAYOU CT",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428186",
            "telephone_number": "847-668-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY EYECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MAKONI",
        "authorized_official_first_name": "TAFADZWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-668-7365",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.