CRYSTAL VIEW EYE CARE NPI 1740309640

NPI Information

  • NPI: 1740309640
  • Provider Name: CRYSTAL VIEW EYE CARE
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 102 W HUMPHREY ST
    LAKE CRYSTAL,, MN
    ZIP 56055
  • Phone: (507) 726-6639

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NPI Details

CRYSTAL VIEW EYE CARE is an eyewear supplier in Lake Crystal,, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CRYSTAL VIEW EYE CARE NPI is 1740309640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 W HUMPHREY ST
LAKE CRYSTAL,, MN
ZIP 56055-158
Phone: (507) 726-6639
Fax: (507) 726-6382

The provider's authorized official is Judith K. Swezey .
The authorized official title is Owner--optometrist and has the following contact phone number (507) 726-6639.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist2215MINNESOTANo
2332H00000XEyewear Supplier2215MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1248078600MEDICAIDMINNESOTA
222-20126OTHERMINNESOTAMEDICA ID#
335770CROTHERMINNESOTABCBS OF MN CLINIC ID#
44C995CROTHERMINNESOTABCBS OF MN ID# (PRODUCT)
5280025000MEDICAIDMINNESOTA
6114270OTHERMINNESOTAUCARE CLINIC ID#
70176630001MEDICARE NSCMINNESOTA
838204OTHERMINNESOTAHEALTH PARTNERS OFFICE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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