St Croix Vision Center Inc
Organization Active NPI Optometrist · Christiansted, VI
NPI 1669698387 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1669698387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ST CROIX VISION CENTER INC
- Practice address
- 4500 Sion Farm Unit #2
Christiansted, VI 00820 - Phone
- (340) 773-2020
- Fax
- (340) 778-0977
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carl F Maschauer, OD
- Title
- President
- Phone
- (340) 773-2020
Corporate family (same tax ID) 1
Practitioners 11
-
Carl Maschauer, O.D.
-
Jaclyn Kay Robak, O.D.
-
Julie Anne Wolf, O.D.
-
Jenine Elizabeth Melko, O.D.
-
Yanira Rodriguez, O.D.
-
Marilyn Kay Holm, O.D.
-
Peter M Kumpitch, OD
-
Jessica Badillo, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- St Croix Vision Center
Locations
4605 Tutu Park Mall
Ste 255
St Thomas, VI 00802
Phone (340) 774-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069 | Medicaid | VI |
Other names
- Vision Center
Other providers in Christiansted, VI
- Darlenny Sotomayor
- Soul Health, Inc.
- Telisha Springer
- St Croix Family Medicine, LLC
- St Croix Vascular Surgery Associates LLC
- St. Croix Diagnostics, LLC
- St. Croix Eye Group, Inc.
- St. Croix Eye Institute, LLC
- St. Croix Ortopedic Supply Center
- St. Croix Plastic Surgery Inc.
All providers in Christiansted, VI · Optometrist in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.