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NPI Code Detail

MEDICARE: CLEARVIEW VISION

MEDICARE: CLEARVIEW VISION
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
1156FX1800XOpticianSL5833CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SL5833OTHERCAMEDICAL BOARD OF CALIFORNIA

General Provider Information

NPI Number : 1154576155
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEARVIEW VISION
Provider Business Mailing Address
First Line : 5419 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5691
Country : US
Telephone Number : 323-871-1234
Fax Number : 323-871-1233
Provider Business Practice Location Address
First Line : 5419 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5691
Country : US
Telephone Number : 323-871-1234
Fax Number : 323-871-1233
Authorized Official
Title or Position : OWNER
Name : BRIAN HYMAN
Credential : ABOC
Telephone Number : 323-871-1234
Provider Enumeration Date : 11/19/2008
Last Update Date : 11/19/2008

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Directions to “CLEARVIEW VISION ” Practice Location

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