Healthcare Provider Details

I. General information

NPI: 1740009265
Provider Name (Legal Business Name): CLEARVUE EYES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 TOWNPARK AVE STE 1221
LAKE MARY FL
32746-4789
US

IV. Provider business mailing address

1145 TOWNPARK AVE STE 1221
LAKE MARY FL
32746-4789
US

V. Phone/Fax

Practice location:
  • Phone: 407-961-8091
  • Fax:
Mailing address:
  • Phone: 407-490-0948
  • Fax: 407-490-0949

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 Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH MACDONALD
Title or Position: OWNER
Credential: OD
Phone: 407-490-0948