NPIMap

Organization Active NPI

St Croix Vision Center Inc

Doing business as Vision Center

  • Optometrist
  • Christiansted, VI
National Provider Identifier
1669698387
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ST CROIX VISION CENTER INC
Doing business as
Vision Center
Practice address
4500 Sion Farm Unit #2
Christiansted, VI 00820
Phone
(340) 773-2020
Fax
(340) 778-0977
NPI assigned
Apr 18, 2007
Last updated
Sep 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Dr. Carl F Maschauer, ODNPI 1831194927
Title
President
Phone
(340) 773-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X 86482 VI

Addresses

Primary practice location

4500 Sion Farm Unit #2
Christiansted, VI 00820

Mailing address

PO Box 5996
Christiansted, VI 00823-5996
Phone (340) 773-2020

Other names 1

  • Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130710000144 VI Part B Supplier - Clinic/Group Practice 9931349214 Receives reassigned benefits from 7 practitioners
Practice locations: St Thomas, VI; Christiansted, VI

National Provider Directory

National Provider Directory
Tax ID family
St Croix Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4605 Tutu Park Mall
Ste 255
St Thomas, VI 00802
Phone (340) 774-2020

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1669698387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5996",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008235996",
            "telephone_number": "340-773-2020",
            "fax_number": "340-778-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SION FARM UNIT #2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-773-2020",
            "fax_number": "340-778-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "MASCHAUER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "340-773-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VI",
            "license": "86482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.