# CLEAR VISTA OPHTHALMOLOGY INC, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790135267
- **Authorized official:** BARRY JAMES WOLSTAN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 541-4905

## Contact information

- **Practice address:** 23600 TELO AVE, SUITE 100, TORRANCE, CA 90505-4035
- **Practice address phone:** (310) 543-2611
- **Practice address fax:** (310) 543-2056
- **Mailing address:** 23600 TELO AVE, SUITE 100, TORRANCE, CA 90505-4035
- **Mailing address phone:** (310) 543-2611
- **Mailing address fax:** (310) 543-2056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G30536 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 06/15/2016