Provider Demographics
NPI:1386367936
Name:CLEARVIEW OPTOMETRY CORP
Entity type:Organization
Organization Name:CLEARVIEW OPTOMETRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYUNG CHOON
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:661-746-6989
Mailing Address - Street 1:1110 E LERDO HWY # 200
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-9415
Mailing Address - Country:US
Mailing Address - Phone:661-746-6989
Mailing Address - Fax:
Practice Address - Street 1:1110 E LERDO HWY # 200
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-9415
Practice Address - Country:US
Practice Address - Phone:661-746-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT35135TLGOtherAMERICAN BOARD OF OPTOMETRY