Crystal Vision Center PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

2905T Issued in TX

Legal business name

CRYSTAL VISION CENTER PC

Practice address

2551B Texas Ave South
College Station, TX 77840-4629

Phone

(979) 764-0669

Fax

(979) 694-1940

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Kathryn L Yorke, ODNPI 1023047644

Title

Owner

Phone

(979) 764-0669

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crystal Vision Center, P.C. Former legal business name

Locations

Practitioners 1

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

• Kathryn L Yorke, OD

  • Optometrist
  • College Station, TX
  • NPI 1023047644
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1407976780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551B TEXAS AVE SOUTH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404629",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551B TEXAS AVE SOUTH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404629",
            "telephone_number": "979-764-0669",
            "fax_number": "979-694-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "YORKE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-764-0669",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "2905T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82FB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093395402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Vision Center, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Catherine G Crowley
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• Kelley Champ Crumpler, LVN
• Priscilla Cruz
• Crystal Bigley LPC PLLC
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• Susan Cua
• Megan Elise Cullers, FNP-BC
• Cultivate Pelvic Floor Therapy
• James Michael Cunningham, DMD

• Vision Therapy Optometrist in College Station, TX
• Providers in College Station, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.