Crystal Wu Gutmann, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002789 Issued in PA

Practice address

145 S 13TH St Ste 1
Philadelphia, PA 19107-4930

Phone

(215) 922-3300

Fax

(215) 922-0775

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Eye Inc

  dba modern eye

  • Optometrist
  • Philadelphia, PA
  • NPI 1063423309
  Medicare reassignment NPD
• Chriseyes Inc

  • Optometrist
  • Philadelphia, PA
  • NPI 1497760805
  NPD (past)
• Samuel H Galib - Opthamology Assoc PC

  • Ophthalmology Physician
  • Paoli, PA
  • NPI 1033148184
  NPD (past)
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1245662071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 BRANDYWINE LN",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190871126",
            "telephone_number": "610-506-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S 13TH ST STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074930",
            "telephone_number": "215-922-3300",
            "fax_number": "215-922-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1452 Brandywine Ln",
            "address_purpose": "LOCATION",
            "city": "Chesterbrook",
            "state": "PA",
            "postal_code": "190871126",
            "country_code": "US",
            "telephone_number": "610-506-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTMANN",
        "first_name": "CRYSTAL",
        "middle_name": "WU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eugenia Gutierrez, BA
• Alisa Rebekah Gutman, MD
• Ari Gutman, M.D.
• David Charles Gutman, M.D.
• Sarah Gutman, MD
• Jacqueline Gutmann, M.D.
• Lidiya Gutnik
• Joshua J Gutoff, ED.D.
• Hanna Gutow, MD
• Lorraine F Gutowicz, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.