Crystal Clear Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CRYSTAL CLEAR VISION LLC

Practice address

900 Potomac St
Aurora, CO 80011-6716

Phone

(303) 363-5105

NPI assigned

Feb 11, 2019

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Kasper Omran, OD

Title

Owner/Optometrist

Phone

(219) 742-3661

Specialties & licenses 1

Addresses

Other names 1

• Crystal Kasper Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Kasper Omran, O.D.

  • Optometrist
  • Aurora, CO
  • NPI 1124334743
  Medicare reassignment NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1356807713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 S DEFRAME CT",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804651091",
            "telephone_number": "219-742-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116716",
            "telephone_number": "303-363-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "KASPER OMRAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "219-742-3661",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Kasper",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie A Cruz, CRNP
• Marissa Beth Cruz, APRN, NNP-BC
• Pedro Julio Cruz
• Xavier Anthony Cruz, LPN
• Nathaniel R Cryan, MA
• Crystal Home Care, LLC
• CSMN Operations II, LLC (Aurora Detox)
• CT Family Chiropractic, LLC
• Cu Depression Center
• Elizabeth Marie Cuadrado, SLP

• Optometrist in Aurora, CO
• Providers in Aurora, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.