| C Clearly Inc | |
|
4814 Skillman Ave, Sunnyside, NY 11104-1026 | |
| (347) 848-0982 | |
| Not Available |
| Full Name | C Clearly Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4814 Skillman Ave, Sunnyside, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013215037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV 005958 (New York) | Primary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| Provider Name | Christa J Cavallaro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588732721 PECOS PAC ID: 1951497551 Enrollment ID: I20071012000096 |
| Mailing Address | Practice Location Address |
|---|---|
| C Clearly Inc 4814 Skillman Ave, Sunnyside, NY 11104-1026 Ph: (917) 687-8153 | C Clearly Inc 4814 Skillman Ave, Sunnyside, NY 11104-1026 Ph: (347) 848-0982 |
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