Crystal Y Mosteller O D Inc PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2491 Issued in OK

Legal business name

CRYSTAL Y MOSTELLER O D INC PC

Practice address

206 E Main St
Tuttle, OK 73089-9138

Phone

(405) 381-2244

Fax

(405) 381-2246

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Crystal Yvonne Mosteller, O.D.NPI 1386744977

Title

Owner

Phone

(405) 381-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tuttle Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Yvonne Mosteller, O.D.

  • Optometrist
  • Tuttle, OK
  • NPI 1386744977
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1952431439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730891377",
            "telephone_number": "405-381-2244",
            "fax_number": "405-381-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730899138",
            "telephone_number": "405-381-2244",
            "fax_number": "405-381-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL Y MOSTELLER O D INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MOSTELLER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-381-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuttle Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Kay Brown, P.A.
• Buysmart Medical Supply Inc.
• Brian Gene Chastain, DDS
• City of Tuttle
• Tori Coats
• Davenport Health Holdings LLC
• Davenport Health Holdings, LLC
• Michele Diane Deberry, EDD, MS CCC-SLP
• Tania M Degiusti
• Victoria Sunshine Elizabeth Dick

• Optometrist in Tuttle, OK
• Providers in Tuttle, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.