Crystal Lens Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CRYSTAL LENS OPTICAL LLC

Practice address

Crystal Lens Optical LLC
670 Main Ave
Passaic, NJ 07055-5171

Phone

(973) 773-2020

Fax

(973) 773-2011

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Edward A Forszt, O.D

Title

O.D

Phone

(973) 773-2020

Specialties & licenses 1

Addresses

Other names 1

• Crystal Lens Optical LLC Former legal business name

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1326613571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CRYSTAL LENS OPTICAL LLC",
            "address_2": "670 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555171",
            "telephone_number": "973-773-2020",
            "fax_number": "973-773-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CRYSTAL LENS OPTICAL LLC",
            "address_2": "670 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555171",
            "telephone_number": "973-773-2020",
            "fax_number": "973-773-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL LENS OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "FORSZT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "O.D",
        "authorized_official_telephone_number": "973-773-2020",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Lens Optical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Walter Cosillo, LAC
• Alyssa Taylor Coughlin, BCBA
• CPL (Hamilton) LLC (Hamilton Plaza Nursing and Rehabilitation Center)
• Joseph M. Crawley, MD
• Rosario D Cruz-Castillo, M.ED., LAC
• Crystal Lens Optical of Passaic LLC
• Michelle Marion D'Amato, APN
• Rochel Dahan
• Rachel Goldman Dale, PSYD
• Vince F Dalessio, DMD

• Optometrist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.