Provider Demographics
NPI:1174869317
Name:CLARITY EYE CARE LLC
Entity type:Organization
Organization Name:CLARITY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOBY
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:RUSSAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-677-8857
Mailing Address - Street 1:3461 HORIZON BLVD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020
Mailing Address - Country:US
Mailing Address - Phone:215-942-7671
Mailing Address - Fax:215-942-7673
Practice Address - Street 1:3461 HORIZON BLVD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:215-942-7671
Practice Address - Fax:215-942-7673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002457152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty