Crystal Clear Vision Center Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

09873T Issued in CA

Legal business name

CRYSTAL CLEAR VISION CENTER OPTOMETRY, INC.

Practice address

781 Vallejo St
San Francisco, CA 94133-3834

Phone

(415) 677-9930

Fax

(415) 677-9599

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Chew, O.D.NPI 1265423131

Title

Optometrist/Owner

Phone

(415) 677-9930

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Theresa Tai Ngor Chew, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1265423131
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1043474133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 VALLEJO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333834",
            "telephone_number": "415-677-9930",
            "fax_number": "415-677-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 VALLEJO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333834",
            "telephone_number": "415-677-9930",
            "fax_number": "415-677-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR VISION CENTER OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "CHEW",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "415-677-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "09873T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043474133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Leah Cruz, MS CCC-SLP
• Silvia Cruz
• Tatiana Cruz
• Nicholas Edward Cruze, D.C.
• Crystal Clear Vision Center
• CSG Better Hearing Services, Inc., a Professional Audiology Corp.
• Rey Cua
• Victor Cuadros, DDS
• Alissa Marie Cuason
• Sophia Cuba, PH.D., QME

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.