Crystal Clear Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5820/T2734 Issued in OH

Legal business name

CRYSTAL CLEAR VISION, LLC

Doing business as

Pure Vision Center

Practice address

1021 Sandusky St Ste E
Perrysburg, OH 43551-3201

Phone

(419) 874-3661

Fax

(419) 872-5195

NPI assigned

Jul 9, 2014

Last updated

Sep 19, 2023By 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

Dr. Austin L Saneholtz, O.D.NPI 1275781841

Title

Owner

Phone

(419) 874-3661

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pure Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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.

• Austin L Saneholtz, OD

  • Optometrist
  • Perrysburg, OH
  • NPI 1275781841
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Rose Lange, OD

  • Optometrist
  • Perrysburg, OH
  • NPI 1982195855
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1629484670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE E",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513201",
            "telephone_number": "419-874-3661",
            "fax_number": "419-872-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE E",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513201",
            "telephone_number": "419-874-3661",
            "fax_number": "419-872-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SANEHOLTZ",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-874-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5820/T2734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeleine Craig, MD
• Megan L Cranor, DO
• Kevin Creedon, NP-C
• Andrea Cross
• Megan Ilene Crotty
• Cura Group Home Care, LTD
• John Conor Curran, L.M.T
• Megan Dakhnovets, CCC-SLP
• Athanasios Thomas Dalagiannis, M.D.
• Tiffany Dallas-Kish, PT, DPT

• Optometrist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.