Crystal Yvonne Mosteller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2491 Issued in OK

Practice address

206 E Main St
Tuttle, OK 73089-9138

Phone

(405) 381-2244

Fax

(405) 381-2246

NPI assigned

Sep 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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

• Crystal Y Mosteller O D Inc PC

  • Optometrist
  • Tuttle, OK
  • NPI 1952431439
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1386744977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730891377",
            "telephone_number": "405-381-2244",
            "fax_number": "405-381-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730899138",
            "telephone_number": "405-381-2244",
            "fax_number": "405-381-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "CRYSTAL",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linzi Ruth Mackey, CNP
• Cheryl Macneill
• Jerry D McCan X, DDS
• Robert John Morgan Jr., DDS
• Faith Dashawn Morrow
• Kimberly Hicks Nelson
• Onesource LLC
• Kendra Michelle Pagel, MS, CCC-SLP
• Partners in Health Multicare Clinic
• Tesa Alice Penrod

• Optometrist in Tuttle, OK
• Providers in Tuttle, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.