Active NPI
Crystal H Strickler, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1457400533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009849
- Practice address
- 2656 N Elston Ave
Chicago, IL 60647-2019 - Phone
- (773) 862-0743
- Fax
- (773) 862-0893
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009849 | IL | Primary |
Addresses
Primary practice location
2656 N Elston Ave
Chicago, IL 60647-2019
Mailing address
916 Kemman Ave
La Grange Park, IL 60526-1664
Phone (312) 203-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009849 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1457400533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 KEMMAN AVE",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605261664",
"telephone_number": "312-203-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472019",
"telephone_number": "773-862-0743",
"fax_number": "773-862-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLER",
"first_name": "CRYSTAL",
"middle_name": "H",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.