Provider Demographics
NPI:1154956126
Name:CLEAR VISION OPTOMETRY LLC
Entity type:Organization
Organization Name:CLEAR VISION OPTOMETRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:781-979-0960
Mailing Address - Street 1:3 WOODLAND RD STE 120
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1710
Mailing Address - Country:US
Mailing Address - Phone:781-979-0960
Mailing Address - Fax:781-979-0618
Practice Address - Street 1:3 WOODLAND RD STE 120
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1710
Practice Address - Country:US
Practice Address - Phone:781-979-0960
Practice Address - Fax:781-979-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty