Crystal Eye Care,Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000794 Issued in VA

Legal business name

CRYSTAL EYE CARE,INC

Practice address

1654 Crystal Square Arc
Arlington, VA 22202-3322

Phone

(703) 413-9001

Fax

(703) 552-1334

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeff C. Chuh, O.D.

Title

President

Phone

(703) 413-9001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeff C. Chuh, O.D. Other name

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1083637466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 CRYSTAL SQUARE ARC",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023322",
            "telephone_number": "703-413-9001",
            "fax_number": "703-552-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 CRYSTAL SQUARE ARC",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023322",
            "telephone_number": "703-413-9001",
            "fax_number": "703-552-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL EYE CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "CHUH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-413-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009235434",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff C. Chuh, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Crum, RN, IBCLC
• Evelyn Alexandra Cruz Herbas, DDS
• Crystal City Chiropractic
• Crystal City Dental Arts Center
• Crystal City Nursing Center, Inc.
• Crystal Smile, PLLC
• Gerson J Cuellar, D.D.S.
• Ruben Dario Cuellar, DDS
• Mercedes V Cueva
• Katrina Michelle Cuffey

• Optometrist in Arlington, VA
• Providers in Arlington, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.