Organization Name: | CLEAR VIEW EYE CARE P.C. |
NPI Number: | 1033301239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAUNE WALLACE (PRESIDENT) |
Mailing Address: | 1100 Canyon View Dr Ste G Santa Clara |
State: | UT US |
Postal Code: | 847655672 |
Phone Number: | 4356743502 |
Fax Number: | 4356740227 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 6300367-9934 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |