CRYSTAL VISION WEST HARTFORD LLC. (NPI# 1174926653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174926653 |
| Entity Type | Organization |
| Organization Name | CRYSTAL VISION WEST HARTFORD LLC. |
| Practice Address |
64 Raymond Rd Suite170 West Hartford CT 06107-2213 |
| Mailing Address |
909 Hartford Tpke Unit D2 Waterford CT 06385-4267 |
| Practice Telephone | 8604420380 |
| Mailing Telephone | 8604420380 |
| Mailing Fax Number | 8604371717 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | DR. BRIAN MANN (OWNER) |
| Authorized Official Telephone | 8604420380 |
| Authorized Official Credential | O.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002229 | CT | Eye and Vision Services Providers |
| Street Address |
64 RAYMOND RD SUITE170 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| 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 |
|---|---|---|---|---|
| 1457696270 | Afua Wirekoa Antwi | Optometrist | 262 Park Rd, West Hartford, CT 06119-2018 | 2012-12-05 |
| 1215229273 | Nicole Colasurdo | Optometrist | 612b Quaker Ln S, West Hartford, CT 06110-1027 | 2011-05-10 |
| 1619064169 | Roger R Hirons | Optometrist | 24 Kane St, West Hartford, CT 06119-2109 | 2006-10-06 |
| 1184733255 | Peter Pegolo | Optometrist | 612 Quaker Ln S, Suite B, West Hartford, CT 06110-1027 | 2006-08-30 |
| 1417967324 | Neil William Kemp | Optometrist | 1138 New Britain Ave, West Hartford, CT 06110-2413 | 2006-08-09 |
| 1154311801 | Charlene Marie Chateauneuf | Optometrist | 1013 Farmington Ave, West Hartford, CT 06107-2106 | 2005-10-25 |
| 1285257410 | Lauren Diaferio | Optometrist | 1013 Farmington Ave, West Hartford, CT 06107-2181 | 2020-05-21 |
| 1396388179 | Brittany Strebig | Optometrist | 262 Park Rd, West Hartford, CT 06119-2018 | 2019-10-23 |
| 1992347181 | Jessica Laynne Fowler | Optometrist | 1013 Farmington Ave, West Hartford, CT 06107-2181 | 2019-10-09 |
| 1285158162 | Raymond R Guimond | Optometrist | 1013 Farmington Ave, West Hartford, CT 06107-2181 | 2017-08-01 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on CRYSTAL VISION WEST HARTFORD LLC..
| 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.