Healthcare Provider Details

I. General information

NPI: 1508537663
Provider Name (Legal Business Name): CLARITY FAMILY EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34-36 PROGRESS ST STE B4
EDISON NJ
08820-1197
US

IV. Provider business mailing address

34-36 PROGRESS ST STE B4
EDISON NJ
08820-1197
US

V. Phone/Fax

Practice location:
  • Phone: 732-515-4405
  • Fax: 732-515-4434
Mailing address:
  • Phone: 732-515-4405
  • Fax: 732-515-4434

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 TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MONICA THI
Title or Position: OPTOMETRIST
Credential: OD
Phone: 732-491-1419