Healthcare Provider Details

I. General information

NPI: 1376356352
Provider Name (Legal Business Name): CLARITY VISION PLUS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22371 PONTIAC TRL
SOUTH LYON MI
48178-1658
US

IV. Provider business mailing address

970 S OLD WOODWARD AVE
BIRMINGHAM MI
48009-6726
US

V. Phone/Fax

Practice location:
  • Phone: 248-437-7600
  • Fax:
Mailing address:
  • Phone: 248-369-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JARED MOST
Title or Position: OWNER/MEMBER
Credential:
Phone: 248-369-3300