CRYSTAL S OLIVER OD PLLC (NPI# 1760990568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760990568 |
| Entity Type | Organization |
| Organization Name | CRYSTAL S OLIVER OD PLLC |
| Practice Address |
1413 N Elm St Ste 102 Henderson KY 42420-2776 |
| Practice Telephone | 2708261500 |
| Practice Fax Number | 2708270757 |
| Mailing Telephone | 2708261500 |
| Mailing Fax Number | 2708270757 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | CRYSTAL S OLIVER (OWNER) |
| Authorized Official Telephone | 2708261500 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
1413 N ELM ST STE 102 |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040305 | Dr Martinez Od, Pllc | Optometrist | 3515 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4596 | 2020-10-13 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1295392835 | Henderson Family Eyecare | Optometrist | 175 N Stephanie St Ste 130, Henderson, NV 89074-8996 | 2019-05-20 |
| 1366906976 | Henderson Vision Care LLC | Optometrist | 305 N Pecos Rd Ste A, Henderson, NV 89074-1352 | 2019-01-28 |
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1609377423 | Debry Jackson Ophthalmology Pllc | Optometrist | 2390 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-5084 | 2018-02-27 |
| 1306295951 | Thang Doan | Optometrist | 1000 N Green Valley Pkwy Ste 420, Henderson, NV 89074-6172 | 2016-06-05 |
| 1407203201 | Optic Gallery Henderson, LLC | Optometrist | 543 N Stephanie St, Suite 110, Henderson, NV 89014-6613 | 2016-05-21 |
| 1447618111 | Girisgen & Kopolow Od, PC | Optometrist | 1381 W Sunset Rd Ste 120, Henderson, NV 89014-8628 | 2016-02-09 |
| 1669803128 | Timothy Melton | Optometrist | 143 S Water St, Henderson, NV 89015-7203 | 2013-12-10 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on CRYSTAL S OLIVER OD PLLC.
| 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.