NPIMap

Organization Active NPI

Crystal Optometric Eyecare, P.C.

Doing business as Crown Eyecare Center

  • Corneal and Contact Management Optometrist
  • East Brunswick, NJ
National Provider Identifier
1356633937
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
27OA00612000 Issued in NJ
Legal business name
CRYSTAL OPTOMETRIC EYECARE, P.C.
Doing business as
Crown Eyecare Center
Practice address
300 Route 18
Midstate Mall, Suite#32B
East Brunswick, NJ 08816-1912
Phone
(732) 651-8188
Fax
(732) 651-8199
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Derek Chong, O.D.NPI 1164431961
Title
President
Phone
(718) 595-2266

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 27OA00582400 NJ
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 27OA00612000 NJ Primary

Addresses

Primary practice location

300 Route 18
Midstate Mall, Suite#32B
East Brunswick, NJ 08816-1912

Mailing address

18015 64TH Ave
Fresh Meadows, NY 11365-2101
Phone (718) 595-2266

Other names 1

  • Crown Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

300 Route 18
Ste 32B
East Brunswick, NJ 08816
Phone (732) 651-8188

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1356633937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18015 64TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652101",
            "telephone_number": "718-595-2266",
            "fax_number": "718-595-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROUTE 18",
            "address_2": "MIDSTATE MALL, SUITE#32B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161912",
            "telephone_number": "732-651-8188",
            "fax_number": "732-651-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL OPTOMETRIC EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-595-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00582400",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00612000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.