Active NPI
Crystal Clear Vision
- Eyewear Supplier
- Deland, FL
National Provider Identifier
1033380456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.