CRESTWOOD OPTICAL (NPI# 1275550089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275550089 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD OPTICAL |
| Practice Address |
8078 Sudley Rd Manassas VA 20109 |
| Practice Telephone | 7033691616 |
| Practice Fax Number | 7033697902 |
| Mailing Telephone | 7033691616 |
| Mailing Fax Number | 7033697902 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | MR. ERIC W KELLER (OWNER) |
| Authorized Official Telephone | 7033691616 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
967 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9282831 | 05 |
| Street Address |
8078 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639691876 | Melissa Stringfellow | Technician/Technologist | 8078 Sudley Rd, Manassas, VA 20109-3401 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619146107 | America's Best Contacts & Eyeglasses | Technician/Technologist | 11654 Sudley Manor Drive, Manassas, VA 20109 | 2008-02-28 |
| 1639691876 | Melissa Stringfellow | Technician/Technologist | 8078 Sudley Rd, Manassas, VA 20109-3401 | 2017-07-10 |
| 1467811018 | Donald S Wiggs | Technician/Technologist | 7771 Ashton Ave, Manassas, VA 20109-2879 | 2016-02-10 |
| 1275943417 | Can,inc | Technician/Technologist | 9378 Forestwood Ln Ste A, Manassas, VA 20110-4742 | 2014-04-28 |
| 1881777563 | Wal-mart Stores East, Lp | Technician/Technologist | 9401 Liberia Ave, Manassas, VA 20110-1718 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
| 1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
| 1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
| 1548774425 | Dean Diffenbaugh | Technician/Technologist | 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 | 2017-11-29 |
| 1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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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.