Creston Opticians Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT002933-1 Issued in NY

Legal business name

CRESTON OPTICIANS INC

Practice address

2169 White Plains Rd
Bronx, NY 10462-1405

Phone

(718) 409-2200

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas T Berger, OPTICIANNPI 1992862163

Title

MGR

Phone

(718) 409-2200

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Creston Optical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas T Berger, OPTICIAN

  • Optician
  • Bronx, NY
  • NPI 1992862163

  Contact Lens

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1003973223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621405",
            "telephone_number": "718-409-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621405",
            "telephone_number": "718-409-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTON OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "718-409-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT002933-1",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "VUT002933-1",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "VUT002933-1",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "NY",
            "license": "VUT002933-1",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "NY",
            "license": "VUT002933-1",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "NY",
            "license": "005104-1",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "005104-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005104-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00328267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creston Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Efrain Crespo-Gomez, MD
• Jillian Allison Crespo-Woo, LCSW
• Angelica H Crespo
• Chastity Crespo, MHC-LP
• Oliver Crespo, PHD
• Aisha Diana Crichlow
• Linda Crichlow, M.D.
• Neville C Crick, P.T.
• Emily E Crincoli
• Crisis Recovery Network, LLC

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.