MEDICARE: CLEARVIEW EYE CARE, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	152W00000X	Optometrist	0618001498	VA

General Provider Information

NPI Number	:	1427498344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARVIEW EYE CARE, INC

Provider Business Mailing Address
First Line	:	1932 KEMPSVILLE RD
Second Line	:	#106
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6953
Country	:	US
Telephone Number	:	757-275-9090
Fax Number	:	757-275-9092

Provider Business Practice Location Address
First Line	:	1932 KEMPSVILLE RD
Second Line	:	#106
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6953
Country	:	US
Telephone Number	:	757-275-9090
Fax Number	:	757-275-9092

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RUSSELL ARTHUR BEACH
Credential	:	OD
Telephone Number	:	757-275-9090

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	11/23/2015

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Directions to “CLEARVIEW EYE CARE, INC ” Practice Location

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