=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386982874
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLEAR FOCUS EYE CARE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2013
-----------------------------------------------------
Last Update Date | 06/05/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1715 W MARKET ST
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17404-5418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-854-8130
-----------------------------------------------------
Fax | 717-854-7352
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2112 BALTIMORE PIKE
-----------------------------------------------------
City | EAST BERLIN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17316-9176
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-424-8239
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. KARENA KAY STRAIN
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 717-424-8239
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | OEG-01714
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------