Crystal View Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11307TPG Issued in CA

Legal business name

CRYSTAL VIEW OPTOMETRY, INC.

Practice address

8419 Elk Grove Florin Rd
Elk Grove, CA 95624-9518

Phone

(916) 681-1101

Fax

(916) 682-8891

NPI assigned

Jan 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Diana Lynn Holcomb, O.D.

Title

President

Phone

(916) 681-1101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Karen Hawk, O.D.

  • Optometrist
  • Woodland, CA
  • NPI 1801824289
  Medicare reassignment Care Compare group NPD
• Amrita Singh Kaler, O.D.

  • Optometrist
  • Elk Grove, CA
  • NPI 1033444112
  Medicare reassignment Care Compare group NPD
• Diana Lynn McKnight, O.D.

  • Optometrist
  • Elk Grove, CA
  • NPI 1457310500
  Medicare reassignment Care Compare group
• Aubrey L Vetrone, OD

  • Optometrist
  • Elk Grove, CA
  • NPI 1396356804
  Medicare reassignment Care Compare group
• Tomas Borsky

  • Optometrist
  • Grass Valley, CA
  • NPI 1548219348
  NPD (past)

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484956800000",
    "number": "1568909166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249518",
            "telephone_number": "916-681-1101",
            "fax_number": "916-682-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249518",
            "telephone_number": "916-681-1101",
            "fax_number": "916-682-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL VIEW OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-21",
        "last_updated": "2017-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-681-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11307TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caden Cruz
• Conrad M Cruz, DDS
• Diana Cruz
• Julio Cruz
• Kalanni Alexis Cruz
• Emily Sarah Cuellar
• Michael Cuellar, PHARM.D.
• Agnes Cuison, MS, CCC-SLP
• Binh Culbreth
• Cheryl A Cummings, PA-C

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; 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.