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NPI Code Detail

MEDICARE: CLEAR VISION ASSOCIATES, P.C.

MEDICARE: CLEAR VISION ASSOCIATES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3024CO

General Provider Information

NPI Number : 1003272121
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR VISION ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 5990 DAHLIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5990 DAHLIA ST
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3708
Country : US
Telephone Number : 405-255-6673
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. ESTEBAN SANDOVAL
Credential : O.D.
Telephone Number : 405-255-6673
Provider Enumeration Date : 01/05/2016
Last Update Date : 01/07/2016

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Directions to “CLEAR VISION ASSOCIATES, P.C. ” Practice Location

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