Organization
CLEAR SIGHT OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE DIANE HENNING OD (CLINICAL DIRECTOR)
(605) 237-0562
Entity
Organization
Contact information
Practice address
214 MAIN ST, UNIT D, STONEHAM, MA 02180-1619
(605) 237-0562
Mailing address
200F MAIN ST, SUITE 312, STONEHAM, MA 02180-1619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
03/19/2015
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