Crestwood Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

967 Issued in VA

Legal business name

CRESTWOOD OPTICAL

Practice address

8078 Sudley Rd
Manassas, VA 20109

Phone

(703) 369-1616

Fax

(703) 369-7902

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eric W Keller, OPTICIAN

Title

Owner

Phone

(703) 369-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Melissa Stringfellow, OPTICIAN

  • Optician
  • Manassas, VA
  • NPI 1639691876
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1275550089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20109",
            "telephone_number": "703-369-1616",
            "fax_number": "703-369-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20109",
            "telephone_number": "703-369-1616",
            "fax_number": "703-369-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-369-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9282831",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Newberry Creasy, LPC, LMFT
• Renata A Creech, LPC
• Nicole Crennan, LPC
• Cyndi L Crespin Cardona, NP
• Nancy Katherine Crespo-Richardson, LPC
• Crestwood Pediatric Associates PC
• Crestwood Pharmacy, Inc
• Paige Rochelle Crisler-Smith, LCSW
• Amanda Criste, MA, NCC
• Leslie-Brhette Crowe, LPTA

• Optician in Manassas, VA
• Providers in Manassas, VA by specialty
• Optician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.