CRYSTAL EYES OPTICAL, LLC (NPI# 1922294966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922294966 |
Entity Type | Organization |
Organization Name | CRYSTAL EYES OPTICAL, LLC |
Practice Address |
4165 9th St Sw Suite 106 Vero Beach FL 32968-4878 |
Practice Telephone | 7729781172 |
Practice Fax Number | 7729781173 |
Mailing Telephone | 7729781172 |
Mailing Fax Number | 7729781173 |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |
Authorized Official Name | MR. CHARLESS SESSIONS (OWNER/MANAGER) |
Authorized Official Telephone | 7729781172 |
Authorized Official Credential | LICENSED OPTICIA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
DO5603 | FL | Ambulatory Health Care Facilities |
Street Address |
4165 9TH ST SW SUITE 106 |
City | VERO BEACH |
State | FL |
Zip Code | 32968-4878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033178173 | Dennis C King | Internal Medicine | 4165 9th St Sw, Suite 106, Vero Beach, FL 32968-4878 | 2006-03-18 |
1356545131 | Annetta Cheryl Alexander | Internal Medicine | 4165 9th St Sw, Vero Beach, FL 32968-4878 | 2007-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245589712 | Lisa Sellers | Nurse Practitioner | 5585 W 1st Sq Sw, Vero Beach, FL 32968 | 2012-08-30 |
1558691428 | Lynn Ann Applebee | Speech-Language Pathologist | 5733 Riverboat Cir Sw, Vero Beach, FL 32968 | 2009-12-28 |
1992900187 | Glenn M Stepner | Psychologist | 1175 Amethyst Dr Sw, Vero Beach, FL 32968 | 2007-06-18 |
1780200840 | Safa Nestagia Pinnock | Case Manager/Care Coordinator | 755 27th Ave Sw, Suite 9 & 10, Vero Beach, FL 32968 | 2020-06-24 |
1598384216 | Olivia Hoyos | Counselor | 755 27th Ave Sw Ste 9&10, Vero Beach, FL 32968 | 2020-04-13 |
1568967032 | Waskuch Therapy Services Inc. | Occupational Therapist | 1210 Buckhead Dr Sw, Vero Beach, FL 32968 | 2018-03-27 |
1346798089 | Lynn Devane Rummel | Speech-Language Pathologist | 4957 5th Mnr, Vero Beach, FL 32968-1132 | 2016-09-12 |
1629569470 | Lynn Rummel, Inc. | Speech-Language Pathologist | 4957 5th Mnr, Vero Beach, FL 32968-1132 | 2018-05-27 |
1336569730 | Helping Hands Therapy Services LLC | Home Health | 601 41st Ave, Vero Beach, FL 32968-1139 | 2014-04-24 |
1669429817 | Elizabeth Frances Helseth | Speech-Language Pathologist | 645 36th Ave, Vero Beach, FL 32968-1221 | 2006-05-30 |
Find all providers in zip 32968 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891153169 | Leon Hendley, M.d. of Vero Beach,p.a. | Clinic/Center | 1300 36th St, Vero Beach, FL 32960-4898 | 2016-02-02 |
1396157756 | Whole Family Health Center | Clinic/Center | 981 37th Pl, Vero Beach, FL 32960-6541 | 2014-05-20 |
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Find all providers with the same taxonomy |
City | VERO BEACH |
Zip Code | 32968 |
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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.