Crystal Clear Eyeglass

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

CRYSTAL CLEAR EYEGLASS

Practice address

4946 N 5TH St
1St FL
Philadelphia, PA 19120

Phone

(215) 924-4142

Fax

(215) 924-4143

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Tomas L Castillo

Title

Owner Optician

Phone

(215) 924-4142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215148564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 N 5TH ST",
            "address_2": "1ST FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-924-4142",
            "fax_number": "215-924-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 N 5TH ST",
            "address_2": "1ST FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-924-4142",
            "fax_number": "215-924-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR EYEGLASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "215-924-4142"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Cruz Jr., M.D.
• Melissa Cruz, L.C.S.W.
• Nikiya Cruz
• Valerie Angela Cruz
• Kiera Nicole Cryan
• Crystal CMM Home Care LLC
• Crystal Life Transition Services
• Mary Csencsits
• Ildiko Csiki, MD
• CT Eyecare LLC

• Optician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.