Healthcare Provider Details
I. General information
NPI: 1073293825
Provider Name (Legal Business Name): CLEAR VIEW EYE ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2023
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5999 CUSTER RD STE 120
FRISCO TX
75035-9304
US
IV. Provider business mailing address
5999 CUSTER RD STE 120
FRISCO TX
75035-9304
US
V. Phone/Fax
- Phone: 214-785-7156
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARZOO
WASTANI
Title or Position: OPTOMETRIST
Credential: OD
Phone: 214-436-9090