Healthcare Provider Details

I. General information

NPI: 1891607263
Provider Name (Legal Business Name): CLARUS OPTOMETRY OD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4037 DURHAM CHAPEL HILL BLVD
DURHAM NC
27707-2516
US

IV. Provider business mailing address

116 EDWARD BOOTH LN
DURHAM NC
27713-9675
US

V. Phone/Fax

Practice location:
  • Phone: 919-246-9545
  • Fax: 919-246-9545
Mailing address:
  • Phone: 714-403-0125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHELLE GINAH SON
Title or Position: OWNER/MANAGING MEMBER
Credential: O.D.
Phone: 714-403-0125