CRYSTAL KAYE VICTOR (NPI# 1124645056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124645056 |
| Entity Type | Individual |
| Full Name | CRYSTAL KAYE VICTOR |
| Credential | O.D. |
| Practice Address |
3200 S University Dr Davie FL 33328-2018 |
| Mailing Address |
8321 Sw 12th St Pembroke Pines FL 33025-3346 |
| Practice Telephone | 9542624200 |
| Mailing Telephone | 9548068450 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5822 | FL | Eye and Vision Services Providers |
| Street Address |
3200 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495525 | Sharon Crane Siegel | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2005-05-24 |
| 1902419609 | Erika Zwachte | Pharmacist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-24 |
| 1578174462 | Teresa Aliana Gonzalez Escalona | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1396356275 | Fahra Y Dawood | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1457962235 | Serena Ghodasra | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1487265476 | Ashley Culver | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-12 |
| 1417568635 | Yaseen Waqar | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-11 |
| 1184241465 | Sydney Si Ying Lin | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-07-02 |
| 1013534528 | Samantha Krueger | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-30 |
| 1902422793 | Brice Chen Hsu | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044622 | Daniel Max & Marcandrea, LLC | Optometrist | 4591 S University Dr, Davie, FL 33328-3838 | 2020-08-18 |
| 1669090825 | Joshua Marshall Reed | Optometrist | 8400 Sw 39th Ct, Davie, FL 33328-2906 | 2020-07-13 |
| 1861015489 | Nikita S. Jaber | Optometrist | 6650 Sw 39th St Apt A4, Davie, FL 33314-2440 | 2020-05-19 |
| 1861045502 | Liana Rivkin | Optometrist | 3200 S University Dr Bldg 1402, Davie, FL 33328-2018 | 2019-07-22 |
| 1487110656 | Lindsay Marie Agro | Optometrist | 2210 S University Dr Ste 63b, Davie, FL 33324-5852 | 2019-02-13 |
| 1477081271 | Adesola Olatunji Fadeyi | Optometrist | 9480 Tangerine Pl Apt 404, Davie, FL 33324-4453 | 2017-05-24 |
| 1053847566 | Rhea Butchey Od LLC | Optometrist | 15800 Surrey Cir, Davie, FL 33331-2568 | 2017-05-03 |
| 1558711192 | Ilya Ginzburg | Optometrist | 4975 Sw 148th Ave, Davie, FL 33330-2419 | 2016-06-14 |
| 1659729036 | Chuan Hu | Optometrist | 2015 Sw 82nd Ave, Davie, FL 33324-5407 | 2016-05-26 |
| 1144602160 | Miriam Anglo | Optometrist | 3200 S University Dr Bldg 2nd, Davie, FL 33328-2018 | 2015-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.