Crystal Han, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008121 Issued in NY

Practice address

3925 Bell Blvd
Bayside, NY 11361-2060

Phone

(718) 279-2020

Fax

(718) 279-3702

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye and I Eyecare LLCGroup PAC ID 0749523108, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye & I Eyecare LLC

  • Optometrist
  • Bayside, NY
  • NPI 1992369623
  Medicare reassignment Care Compare group NPD Authorized official
• Eye & I Eyecare LLC

  • Optometrist
  • Great Neck, NY
  • NPI 1669113627
  NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1760897235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FANWOOD AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813101",
            "telephone_number": "516-728-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612060",
            "telephone_number": "718-279-2020",
            "fax_number": "718-279-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "CRYSTAL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002932",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00668500",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Eunbi Ham
• Rodger Hamer, MD
• Amber Nicole Hamilton, LMHC
• Nafisa T Hamim
• Han Rehabilitation Physical Therapy PC
• Dinah Mee Han, DDS
• Joseph Han
• Seungyoung Han, PT
• Zhiling Han, NP-BC
• Hana Adult Day Care, LLC.

• Optometrist in Bayside, NY
• Providers in Bayside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.