Krystal Vision Center Inc in Philadelphia - Optometrist
Krystal Vision Center Inc - NPI 1609806777
Krystal Vision Center Inc is a Optometrist in Philadelphia, Pennsylvania. Krystal Vision Center Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Krystal Vision Center Inc is 1609806777. The last update date is 2011-03-03.
Krystal Vision Center Inc's current location address is 6533 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157446727 and fax number 2157441622. The mailing address for Krystal Vision Center Inc is 6533 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Krystal Vision Center Inc |
|---|---|
| Address | 6533 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2157446727 |
| Fax Number | 2157441622 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nguyen T Krystal |
| Credentials | O.D. |
| Telephone Number | 2157446727 |
NPI Number Detail
| NPI Number | 1609806777 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2011-03-03 |
Provider Mailing Address Detail
| Address | 6533 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191492918 |
| Phone Number | 2157446727 |
| Fax Number | 2157441622 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OEG000225 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HIGHMARK | PA | 1626663 | |
| AETNA | PA | 3548372 | |
| IBC | PA | 2308658000 |
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What is the unique provider identifier assigned to Krystal Vision Center Inc?
The Krystal Vision Center Inc has been issued the NPI (National Provider Identifier) 1609806777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Krystal Vision Center Inc located?
The Krystal Vision Center Inc is located at 6533 Roosevelt Blvd, Philadelphia, PA 191492918.
What is Krystal Vision Center Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Krystal Vision Center Inc is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Krystal Vision Center Inc receive its 1609806777 assignment?
The Krystal Vision Center Inc was assigned its 1609806777 on 2006-07-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Krystal Vision Center Inc last refreshed?
The information related to the Krystal Vision Center Inc, including its address, specialty, and other relevant details, was last updated on 2011-03-03.