Provider Demographics
NPI:1962217273
Name:CLEAR SIGHT OPTICAL LLC
Entity type:Organization
Organization Name:CLEAR SIGHT OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:STURRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-446-0872
Mailing Address - Street 1:5937 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-9317
Mailing Address - Country:US
Mailing Address - Phone:334-446-0872
Mailing Address - Fax:
Practice Address - Street 1:5540 W MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-9417
Practice Address - Country:US
Practice Address - Phone:334-446-0872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALABAMA EYE PHYSICIANS AND SURGEONS, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-12
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty