Crystal World

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00367800 Issued in NJ

Legal business name

CRYSTAL WORLD

Practice address

89 Leuning St
A2
South Hackensack, NJ 07606-1345

Phone

(201) 488-0909

Fax

(201) 488-7447

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By 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. Olin J Hessell, OPTICIAN

Title

Optician

Phone

(201) 488-0909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1942438825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LEUNING ST",
            "address_2": "A2",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076061345",
            "telephone_number": "201-488-0909",
            "fax_number": "201-488-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LEUNING ST",
            "address_2": "A2",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076061345",
            "telephone_number": "201-488-0909",
            "fax_number": "201-488-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL WORLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HESSELL",
        "authorized_official_first_name": "OLIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "201-488-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00367800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in South Hackensack, NJ
• Providers in South Hackensack, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.