Crystal Eyes Optical, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DO5603 Issued in FL

Legal business name

CRYSTAL EYES OPTICAL, LLC

Practice address

4165 9TH St SW
Suite 106
Vero Beach, FL 32968-4878

Phone

(772) 978-1172

Fax

(772) 978-1173

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charless Sessions, LICENSED OPTICIAN

Title

Owner/Manager

Phone

(772) 978-1172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1922294966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 9TH ST SW",
            "address_2": "SUITE 106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684878",
            "telephone_number": "772-978-1172",
            "fax_number": "772-978-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 9TH ST SW",
            "address_2": "SUITE 106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684878",
            "telephone_number": "772-978-1172",
            "fax_number": "772-978-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL EYES OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "SESSIONS",
        "authorized_official_first_name": "CHARLESS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "772-978-1172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "DO5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Cross, LCSW
• Jessica Marie Crowley
• Jersain Alberto Cruz, ARNP
• Jessica Brewer Cruz, M.D.
• Yzabella Cruz
• Austin Taylor Csady, PTA
• CSH Vero Beach LP (Horizon Bay Vero Beach)
• Dianne Marie Cudworth, ANP-BC
• Tyrin Culmer
• Jared Matthew Culp, MD

• Health Service Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.