Healthcare Provider Details
I. General information
NPI: 1164547162
Provider Name (Legal Business Name): CLARITY OPTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 BEVERLY RANCOCAS RD COUNTRY CLUB PLAZA
WILLINGBORO NJ
08046-3428
US
IV. Provider business mailing address
320 BEVERLY RANCOCAS RD COUNTRY CLUB PLAZA
WILLINGBORO NJ
08046-3428
US
V. Phone/Fax
- Phone: 609-877-1229
- Fax:
- Phone: 609-877-1229
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MAKSIM
CHULYAKOV
Title or Position: PRESIDENT
Credential:
Phone: 609-877-1229