MEDICARE: CLEARVIEW VISION ASSOCIATES, 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	152W00000X	Optometrist	TUV006770	NY

General Provider Information

NPI Number	:	1578701090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARVIEW VISION ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	2555 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5848
Country	:	US
Telephone Number	:	718-477-7234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5848
Country	:	US
Telephone Number	:	718-477-7234
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC O. YOSSEF
Credential	:	OD
Telephone Number	:	718-477-7234

Provider Enumeration Date	:	01/22/2009
Last Update Date	:	04/15/2009

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