Healthcare Provider Details

I. General information

NPI: 1487583266
Provider Name (Legal Business Name): CLEAR VISION PROS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE 163RD ST
NORTH MIAMI BEACH FL
33162-4625
US

IV. Provider business mailing address

1400 NE 163RD ST
NORTH MIAMI BEACH FL
33162-4625
US

V. Phone/Fax

Practice location:
  • Phone: 954-800-0037
  • Fax:
Mailing address:
  • Phone: 954-800-0037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MR. AHMAD RAZZAQ
Title or Position: MANAGER
Credential:
Phone: 954-800-0037