Healthcare Provider Details

I. General information

NPI: 1700259413
Provider Name (Legal Business Name): CLEARVIEW EYE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 10/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 WINDMERE DR STE 100
STATE COLLEGE PA
16801-7644
US

IV. Provider business mailing address

1269 TREASURE LK
DU BOIS PA
15801-9053
US

V. Phone/Fax

Practice location:
  • Phone: 814-372-2389
  • Fax: 814-281-3154
Mailing address:
  • Phone: 814-372-2389
  • Fax: 814-281-3154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: PARAG PAREKH
Title or Position: OWNER
Credential: MD
Phone: 814-372-2389