Organization Active NPI

Mays Eye PLLC

Doing business as Crystal Vision Center

  • Optometrist
  • College Station, TX
National Provider Identifier
1235606427
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAYS EYE PLLC
Doing business as
Crystal Vision Center
Practice address
1109 Rock Prairie Rd Ste 300
College Station, TX 77845-8651
Phone
(979) 764-0669
Fax
(979) 694-1940
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Dr. Justin Mays, ODNPI 1053796375
Title
Owner
Phone
(979) 764-0669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Sports Vision Optometrist 152WS0006X NU

Addresses

Primary practice location

1109 Rock Prairie Rd Ste 300
College Station, TX 77845-8651

Mailing address

1109 Rock Prairie Rd Ste 300
College Station, TX 77845-8651
Phone (979) 764-0669

Other names 1

  • Crystal Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181227001086 TX Part B Supplier - Clinic/Group Practice 5991040644 Receives reassigned benefits from 3 practitioners
Practice locations: College Station, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2163427Mays Eye PLLC1109 Rock Prarie Rd Ste 300, College Station, TX 77845Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1235606427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 ROCK PRAIRIE RD STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458651",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 ROCK PRAIRIE RD STE 300",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458651",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYS EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-764-0669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.