MEDICARE: CLARA LE PLLC

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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1275405219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARA LE PLLC

Provider Business Mailing Address
First Line	:	1322 WINDING HOLLOW DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-6916
Country	:	US
Telephone Number	:	469-952-9052
Fax Number	:

Provider Business Practice Location Address
First Line	:	3910 NE LOOP 820 STE 100
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-1130
Country	:	US
Telephone Number	:	469-952-9052
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	CLARA LE
Credential	:
Telephone Number	:	469-952-9052

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “CLARA LE PLLC ” Practice Location

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