Pure Vision Center
LBN: Crystal Clear Vision, Llc
Pure Vision Center is an health care organization with primary practice located at 1021 Sandusky St Ste E , Perrysburg OH 43551-3201. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Crystal Clear Vision, Llc can be contacted via phone (419) 874-3661, or through Saneholtz, Austin L via phone (419) 874-3661.
Contact Information
Primary practice address
1021 Sandusky St Ste E
Perrysburg OH 43551-3201
Phone: (419) 874-3661
Fax: (419) 872-5195
Website:
Authorized official contact:
Name: Saneholtz, Austin L Doctor of Optometry (OD)
Phone: (419) 874-3661
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5820/T2734 | Ohio |
Profile Details
| NPI number | 1629484670 |
|---|---|
| LBN Legal business name | Crystal Clear Vision, Llc |
| DBA Doing business as | Pure Vision Center |
| Authorized official | Saneholtz, Austin L Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Sep 19th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629484670 | NPPES |
| Ohio | MEDICAID | 3126254 |
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