CRYSTAL VISION CENTER PC (NPI# 1407976780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407976780 |
| Entity Type | Organization |
| Organization Name | CRYSTAL VISION CENTER PC |
| Other Organization Name | CRYSTAL VISION CENTER, P.C. |
| Practice Address |
2551b Texas Ave South College Station TX 77840-4629 |
| Practice Telephone | 9797640669 |
| Practice Fax Number | 9796941940 |
| Mailing Telephone | 9797640669 |
| Mailing Fax Number | 9796941940 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | KATHRYN L YORKE (OWNER) |
| Authorized Official Telephone | 9797640669 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2905T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 093395402 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 82FB | 01 |
| Other Name | Type Code |
|---|---|
| Crystal Vision Center, P.C. | Former Legal Business Name - Organization |
| Street Address |
2551B TEXAS AVE SOUTH |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-4629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274278 | Dorian David Acosta | Optometrist | 4450 E Sam Houston Pkwy S Ste E, Pasadena, TX 77505-3950 | 2018-11-16 |
| 1316397474 | Texas Screening Associates | Optometrist | 3816 N Shepherd Dr, 10357, Houston, TX 77206-5001 | 2016-06-20 |
| 1013363993 | Edwin Jusino | Optometrist | 5346 Hwy. 83 Ste. 1, Rio Grande City, TX 78582 | 2016-05-10 |
| 1619395894 | Nielsen Vision Development Center, LLC | Optometrist | 17460 Interstate 35 N, Ste. 412, Schertz, TX 78154-1243 | 2014-04-03 |
| 1679869077 | Southeast Texas Optical, LLC | Optometrist | 6420 Eastex Fwy, Ste B, Beaumont, TX 77708-4338 | 2011-06-23 |
| 1649594250 | Id Vision Center Pllc | Optometrist | 17454 Northwest Fwy, Houston, TX 77040-1002 | 2010-03-25 |
| 1295903219 | James D. Winter & Associates, P.C. | Optometrist | 18333 Egret Bay Blvd Ste 101, Houston, TX 77058-3200 | 2008-02-12 |
| 1003014556 | Briana Michelle Larson | Optometrist | 10601 Pecan Park Boulevard, Suite 201, Austin, TX 78750-1206 | 2007-07-06 |
| 1114040342 | Alan Ray Rising Sr. | Optometrist | 6420b Eastex Fwy, Beaumont, TX 77708-4321 | 2007-04-10 |
| 1477655751 | James F Citek | Optometrist | 1818 N Velasco St, Angleton, TX 77515-3015 | 2006-09-05 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.