Healthcare Provider Details
I. General information
NPI: 1740794056
Provider Name (Legal Business Name): CLEAR VISION ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2017
Last Update Date: 06/09/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14261 E CEDAR AVE UNIT C
AURORA CO
80012-1431
US
IV. Provider business mailing address
5990 DAHLIA ST
COMMERCE CITY CO
80022-3708
US
V. Phone/Fax
- Phone: 303-307-0200
- Fax: 720-729-8262
- Phone: 303-287-3937
- Fax: 720-729-8262
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESTEBAN
SANDOVAL
Title or Position: PRESIDENT
Credential: O.D.
Phone: 303-307-0200