Crystal Vision Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002898 Issued in MI

Legal business name

CRYSTAL VISION OPTICAL INC.

Doing business as

Golden Gate Optical

Practice address

2943 E Big Beaver Rd
Troy, MI 48083-2467

Phone

(248) 689-0213

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dina J. Sitto, ABOC, COT.NPI 1346364908

Title

Manager

Phone

(248) 689-0213

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Golden Gate Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Robert Brinker, OD

  • Optometrist
  • Roseville, MI
  • NPI 1861417933
  Medicare reassignment NPD
• Dina J. Sitto, OPTICION

  • Optician
  • Troy, MI
  • NPI 1346364908
  NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218240000000",
    "number": "1902983778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832467",
            "telephone_number": "248-689-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832467",
            "telephone_number": "248-689-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL VISION OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-09",
        "status": "A",
        "authorized_official_last_name": "SITTO",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-689-0213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC, COT."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002152",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4855083",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Gate Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Anne Crowley, CPNP-PC
• Crownwood Therapy LLC
• Gloria Ellen Cruice, PH.D.
• Karin Joan Crute, PT
• Joanne C. Cruz, MSW, LMSW
• Evisa Cuko, M.A., TLLP
• Mary Emily Wilcox Cummings, MD
• Allison Cumper, LLPC
• Peter E Cunanan
• Vanto Cureton, LMSW

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2008; 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.