CRYSTAL VISION CLINIC PA – NPI #1720480007
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.

Health Care Provider Taxonomy Code for Optometrist

CRYSTAL VISION CLINIC PA is an optometrist located in CRYSTAL, MN. NPPES has assigned the NPI number 1720480007 to CRYSTAL VISION CLINIC PA on September 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 152W00000X from the Health Care Provider Taxonomy code set, which is classified as Optometrist.

The NPI profile was previously updated about 3 years ago on May 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL VISION CLINIC PA below.

NPI Profile for
CRYSTAL VISION CLINIC PA

NPI Number
1720480007
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRYSTAL VISION CLINIC PA
Primary location
5730 BOTTINEAU BLVD.
CRYSTAL, MN 55429-3104
Phone: (763) 537-3213 Fax:
Mailing address
5730 BOTTINEAU BLVD
CRYSTAL, MN 55429-3181
Phone: (763) 537-3213 Fax:
Organization Subpart
No
Authorized Official
JOHN ENDRES
OWNER
Phone: (763) 537-3213
Updated
Certification Date
May 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152W00000X
- Optometrist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.