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CRYSTAL VISION CENTER PC NPI 1407976780


NPI Information

NPI: 1407976780
Provider Name: CRYSTAL VISION CENTER PC

Former Legal Business Name: CRYSTAL VISION CENTER, P.C.

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
2551B TEXAS AVE SOUTH
COLLEGE STATION, TX
ZIP 77840
Phone: (979) 764-0669
Get Directions

CRYSTAL VISION CENTER PC is a vision therapy optometrist in College Station, TX. The provider is 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. CRYSTAL VISION CENTER PC NPI is 1407976780. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Crystal Vision Center, P.c..

The provider's business location address is:

2551B TEXAS AVE SOUTH
COLLEGE STATION, TX
ZIP 77840-629
Phone: (979) 764-0669
Fax: (979) 694-1940

The provider's authorized official is Kathryn L Yorke .
The authorized official title is Owner and has the following contact phone number (979) 764-0669.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 5/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy2905TTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100E76GMEDICARE PINTEXAS
2093395402MEDICAIDTEXAS
382FBOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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