Healthcare Provider Details

I. General information

NPI: 1588073365
Provider Name (Legal Business Name): CLEARVIEW EYE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 S CLEARVIEW DR
VINCENNES IN
47591-5576
US

IV. Provider business mailing address

PO BOX 784
VINCENNES IN
47591-0784
US

V. Phone/Fax

Practice location:
  • Phone: 812-882-9600
  • Fax:
Mailing address:
  • Phone: 812-882-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANK EMERT JR.
Title or Position: OWNER
Credential: M.D.
Phone: 812-882-9600