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NPI 1740009265

NPI 1740009265 : CLEARVUE EYES, PLLC : LAKE MARY, FL

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General NPI Number Information
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    NPI Number           |    1740009265
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEARVUE EYES, PLLC 
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Dates
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    Enumeration Date     |    10/10/2024
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    1145 TOWNPARK AVE STE 1221 
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    City                 |    LAKE MARY
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    State                |    FL
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    Zip                  |    32746-4789
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    Country              |    US
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    Telephone            |    407-961-8091
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1145 TOWNPARK AVE STE 1221 
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    City                 |    LAKE MARY
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    State                |    FL
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    Zip                  |    32746-4789
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    Country              |    US
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    Telephone            |    407-490-0948
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    Fax                  |    407-490-0949
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ELIZABETH  MACDONALD 
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    Credential           |    OD
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    Telephone            |    407-490-0948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    152WL0500X
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    Taxonomy Name        |    Low Vision Rehabilitation Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    152WS0006X
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    Taxonomy Name        |    Sports Vision Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    152WV0400X
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    Taxonomy Name        |    Vision Therapy Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    152WX0102X
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    Taxonomy Name        |    Occupational Vision Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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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