Provider Demographics
NPI:1154741627
Name:CLEARVISION EYE CENTER
Entity type:Organization
Organization Name:CLEARVISION EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-356-8451
Mailing Address - Street 1:143 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7203
Mailing Address - Country:US
Mailing Address - Phone:702-944-9446
Mailing Address - Fax:
Practice Address - Street 1:143 S WATER ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7203
Practice Address - Country:US
Practice Address - Phone:702-944-9446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEARVISION EYE CENTERS CLARK COUNTY LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-23
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0549152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty