Crystal Vision, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

L980322 Issued in AR

Legal business name

CRYSTAL VISION, INC

Practice address

2935 Lakewood Village Dr
North Little Rock, AR 72116-8033

Phone

(501) 516-1227

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By 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

Lisa Veree Jacobs, LICENSED OPTICIAN

Title

General Manager

Phone

(501) 516-1227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1922355585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 LAKEWOOD VILLAGE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168033",
            "telephone_number": "501-516-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 LAKEWOOD VILLAGE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168033",
            "telephone_number": "501-516-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "VEREE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "501-516-1227",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AR",
            "license": "L980322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Crouch, M.D.
• Alexis Brooke Crow
• Joe Walter Crow, MD
• Courtney Pleas Crutchfield, PH.D.
• Rodrick James Crutchfield I
• Erin Lee Csicsila, RD LD
• Gwenith Nynell Culclager, LPN
• Cultivating Solace Collective LLC
• Cultivating Solace Collective LLC
• Brittany Lorraine Cumbie, LAC

• Optician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Optician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.