Organization Active NPI

Crystal Clear Vision

  • Eyewear Supplier
  • Deland, FL
National Provider Identifier
1033380456
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CRYSTAL CLEAR VISION
Practice address
307 E New York Ave
Deland, FL 32724
Phone
(386) 734-8195
Fax
(386) 734-0695
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mrs. Joanne L Sepanek
Title
Pres
Phone
(386) 734-8195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

307 E New York Ave
Deland, FL 32724

Mailing address

307 E New York Ave
Deland, FL 32724
Phone (386) 734-8195

Other names 1

  • Ramsdells Opticians Former legal business name

National Provider Directory

National Provider Directory

Locations

307 E New York Ave
Deland, FL 32724
Phone (386) 734-8195

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1033380456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-734-8195",
            "fax_number": "386-734-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-734-8195",
            "fax_number": "386-734-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "SEPANEK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "386-734-8195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramsdells Opticians",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.