Christian Efrain Crespo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009195 Issued in NY

Practice address

400 Perrine Rd Ste 400B
Old Bridge, NJ 08857-2811

Phone

(732) 727-7450

NPI assigned

Aug 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

State University of New York - State College Optometry, 2020

Medicare assignment

May accept Medicare assignment

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.

• Douglas C Lambertson, OD PC

  • Clinic/Center
  • Old Bridge, NJ
  • NPI 1063782605
  Medicare reassignment NPD

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1801408422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD STE 400B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572811",
            "telephone_number": "732-727-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD STE 400B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572811",
            "telephone_number": "732-727-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "CHRISTIAN",
        "middle_name": "EFRAIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Conteh, REGISTERED NURSE
• Etta Conteh
• Cool Frames NJ LLC
• Corinne Kauderer DPM, LLC
• Craig Rallo Chiropractor,LLC
• Crest Old Bridge Physical Therapy
• CSN Health and Wellness, LLC
• Cunjak & Gewiss, LLC
• James Cunjak, D.D.S.
• Heather A Cunningham, RD, CNSC

• Optometrist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.