Caroline Chu Crisostomo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009644 Issued in NY

Practice address

136 E 57TH St Ste 1502
New York, NY 10022-2780

Phone

(212) 288-0618

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NY

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

Practice roles

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

• Primary Eye Care Optometry, LLP

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1700323136
  Medicare reassignment
• James Leonard Opticians, Inc

  dba James Leonard Opticians

  • Optometrist
  • New York, NY
  • NPI 1912440017
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1326767369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MOTT ST APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123492",
            "telephone_number": "703-303-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 1502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222780",
            "telephone_number": "212-288-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "CAROLINE",
        "middle_name": "CHU",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Elizabeth Criscione, MD
• Maressa Christine Criscito, M.D.
• James Francis Crismale II, M.D.
• Beverly Kristine Crisologo
• Bridget Crisonino
• Christopher Crisostomo
• Michaela Anne Crispin
• Sylvia Amor Tenefrancia Crispino, ANP
• Kaycee Crist, NP
• Michael Andrew Crist, M.D.

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.