Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLEAR SKY HOLDINGS, LLC
NPI 1407542053
Optometrist in Grand Rapids, MI

Active since April 17, 2023
632 FULTON ST W STE 644, GRAND RAPIDS, MI 49504(616) 465-5503 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clear Sky Holdings, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR SKY HOLDINGS, LLC (NPI 1407542053) is a healthcare organization registered as an optometrist in Grand Rapids, Michigan and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Grand Rapids and lists Nikita Jaber, Owner, as its authorized official.

NPPES Registry Identity

NPI1407542053
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCLEAR SKY HOLDINGS, LLC
Location Address632 FULTON ST W STE 644Grand Rapids, MI 49504-5313
Mailing Address261 Netherfield St NwComstock Park, MI 49321-9343 · (616) 465-5503
Organization SubpartNo
Authorized OfficialNikita JaberOwner · (616) 465-5503
Enumeration DateApril 17, 2023
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1407542053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
632 FULTON ST W STE 644, Grand Rapids, MI 49504

Secondary Practice Location 1

Location 1644 Fulton St W Ste CGrand Rapids, MI 49504-5309 · Phone (616) 465-5503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear Sky Holdings, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clear Sky Holdings, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1861015489
644 FULTON ST W STE C
Grand Rapids, MI 49504
(616) 465-5503
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Sky Holdings, LLC's NPI number?

The NPI number for Clear Sky Holdings, LLC is 1407542053. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Clear Sky Holdings, LLC located?

Clear Sky Holdings, LLC is located at 632 Fulton St W Ste 644, Grand Rapids, MI 49504. The listed phone number is (616) 465-5503.

What is Clear Sky Holdings, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Clear Sky Holdings, LLC enrolled in Medicare?

Yes. Clear Sky Holdings, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clear Sky Holdings, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Clear Sky Holdings, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clear Sky Holdings, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Clear Sky Holdings, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clear Sky Holdings, LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.