MEDICARE: CLEARVIEW MEDICAL INCORPORATED

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	332BX2000X	Oxygen Equipment & Supplies (DME)		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	532464	OTHER	TX	BLUE CROSS BLUE SHIELD
2	7130930	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1972692838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARVIEW MEDICAL INCORPORATED

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503 GRAVEL DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118
Country	:	US
Telephone Number	:	817-924-2121
Fax Number	:	817-338-1010

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	10/13/2025

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Directions to “CLEARVIEW MEDICAL INCORPORATED ” Practice Location

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