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General NPI Number Information
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NPI Number | 1205747995
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Entity Type | Organization
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Legal Business Name | CLARUS OPTOMETRY OD, PLLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 4037 DURHAM CHAPEL HILL BLVD
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City | DURHAM
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State | NC
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Zip | 27707-2516
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Country | US
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Telephone | 919-246-9545
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Fax | 919-246-9545
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Provider Business Mailing Address
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Address Line | 116 EDWARD BOOTH LN
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City | DURHAM
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State | NC
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Zip | 27713-9675
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Country | US
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Telephone | 714-403-0125
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | MICHELLE GINAH SON
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Credential | OD
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Telephone | 714-403-0125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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