Healthcare Provider Details

I. General information

NPI: 1679303283
Provider Name (Legal Business Name): CLEAR VIEW VISION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W ABRIENDO AVE
PUEBLO CO
81004-1559
US

IV. Provider business mailing address

711 W ABRIENDO AVE
PUEBLO CO
81004-1559
US

V. Phone/Fax

Practice location:
  • Phone: 719-544-9494
  • Fax: 719-230-0097
Mailing address:
  • Phone: 719-544-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CORY W. SMITH
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 719-544-9494