Healthcare Provider Details

I. General information

NPI: 1932623774
Provider Name (Legal Business Name): CLARITY VISION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 W CHARLESTON BLVD
LAS VEGAS NV
89117-5452
US

IV. Provider business mailing address

10678 CLIFF LAKE ST
LAS VEGAS NV
89179-1416
US

V. Phone/Fax

Practice location:
  • Phone: 702-888-0018
  • Fax:
Mailing address:
  • Phone: 702-888-0018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number883
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number883
License Number StateNV

VIII. Authorized Official

Name: DR. PINTO FRANCO NG ZHAO
Title or Position: OWNER
Credential: OD
Phone: 702-888-0018