Organization
CLEAR VIEW EYE CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNE WALLACE O.D. (PRESIDENT)
(435) 674-3502
Entity
Organization
Contact information
Practice address
1100 CANYON VIEW DR STE G, SANTA CLARA, UT 84765-5672
(435) 674-3502
(435) 674-0227
Mailing address
1100 CANYON VIEW DR STE G, SANTA CLARA, UT 84765-5672
(435) 674-3502
(435) 674-0227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6300367-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
6300367-9934
UT
152WP0200X
Pediatric Optometrist
6300367-9934
UT
152WV0400X
Vision Therapy Optometrist
6300367-9934
UT
Other
Enumeration date
08/13/2007
Last updated
06/15/2011
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