CRYSTAL FALLS VISION CENTER, PLLC (NPI# 1962807586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962807586 |
| Entity Type | Organization |
| Organization Name | CRYSTAL FALLS VISION CENTER, PLLC |
| Other Organization Name | CRYSTAL FALLS VISION CENTER |
| Practice Address |
3550 Lakeline Blvd Ste 180 Leander TX 78641 |
| Mailing Address |
3807 Sebastian Cv Round Rock TX 78681-2332 |
| Practice Telephone | 2812353589 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | DR. BRADLY MATHEW (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 2812353589 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6940TG | TX | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Crystal Falls Vision Center | Doing Business As Name - Organization |
| Street Address |
3550 LAKELINE BLVD STE 180 |
| City | LEANDER |
| State | TX |
| Zip Code | 78641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245505254 | Subha Chikkala | Family Medicine | 3550 Lakeline Blvd, Suite 200, Leander, TX 78641-3504 | 2012-03-09 |
| 1851787196 | Leander Family Medicine Pllc | Family Medicine | 3550 Lakeline Blvd, Leander, TX 78641-3504 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
| 1750923231 | Catherine Mary Garza | Behavioral Analyst | 2205 S Bagdad Road, Leander, TX 78641 | 2019-10-16 |
| 1770067886 | Thomas Lee Simms | Specialist | 11699 Hero Way W Ste 120, Leander, TX 78641 | 2018-09-25 |
| 1568977635 | Alyse Kathleen Paull | Nurse Practitioner | 709 S. Bagdad Rd, Leander, TX 78641 | 2017-12-11 |
| 1265961478 | Preston Hansen | Dentist | 1825 Crystal Falls Pkwy Ste 130, Leander, TX 78641 | 2017-06-09 |
| 1427584689 | Ryan Purkhiser | Student in an Organized Health Care Education/Training Program | 2321 Molly Ln, Leander, TX 78641 | 2017-05-10 |
| 1548718224 | Amberlee Boverhuis | Emergency Medical Technician, Basic | 2406 Socorro Bnd, Leander, TX 78641 | 2016-09-12 |
| 1588058093 | Rebecca Adams | Counselor | 301 N Highway 183 Ste B, Leander, TX 78641 | 2015-03-23 |
| 1609287010 | Chelsea Nicole Johnson | Pediatrics | 709 South Bagdad Road, North Austin Pediatrics, Leander, TX 78641 | 2014-05-20 |
| 1568896231 | Lisa Pomeroy | Naturopath | 801 S Highway 183 # 592, Leander, TX 78641 | 2013-08-29 |
| Find all providers in zip 78641 | ||||
| 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 |
|---|---|---|---|---|
| 1194343848 | Jordan Elizabeth Gjolberg | Optometrist | 800 Crystal Falls Pkwy Unit 4, Leander, TX 78641-3670 | 2020-07-09 |
| 1861970881 | Kelsey Kriske Tillotson | Optometrist | 800 Crystal Falls Pkwy Bldg 4, Leander, TX 78641-3670 | 2018-08-01 |
| 1427573930 | Farrah Khoja Od Pa | Optometrist | 2906 S Bagdad Rd Ste 250, Leander, TX 78641-3274 | 2017-08-04 |
| 1104279835 | Farrah Khoja | Optometrist | 2906 S Bagdad Rd, Ste 250, Leander, TX 78641-3274 | 2016-07-18 |
| 1700218930 | Jose Miguel Correa-dieguez | Optometrist | 1395 S Highway 183 Ste 130, Leander, TX 78641-1419 | 2013-07-30 |
| 1417279480 | Leander Eye Care PC | Optometrist | 1395 South U.S. Highway 183, Suite 130, Leander, TX 78641 | 2010-02-18 |
| 1083713127 | Jodie L West | Optometrist | 800 Crystal Falls Pkwy, #4, Leander, TX 78641-3666 | 2006-09-22 |
| 1083733893 | Jodie L. West, O.d., P.a | Optometrist | 800 Crystal Falls Pkwy, #4, Leander, TX 78641-3666 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1750981684 | Joel George | Optometrist | 6418 Eckhert Rd Apt 4206, San Antonio, TX 78240-3142 | 2020-10-29 |
| 1104425743 | Lara Fady | Optometrist | 13614 Meridian Springs Ln, Houston, TX 77077-2123 | 2020-10-24 |
| 1295334001 | Eye Room Pllc | Optometrist | 17659 Fishtrap Road, Ste 30, Prosper, TX 75078-7507 | 2020-10-22 |
| 1699374538 | Daniel Max & Marc Andrea LLC | Optometrist | 1051 Silber Rd, Houston, TX 77055-7134 | 2020-10-21 |
| 1922607902 | Glimpse Eye Care | Optometrist | 26435 Kuykendahl Rd Ste 800, Tomball, TX 77375-1855 | 2020-10-21 |
| 1831798016 | Birds Eye View Optometry - League City Pllc | Optometrist | 1355 E League City Pkwy Ste 200, League City, TX 77573-7095 | 2020-10-20 |
| 1720687056 | Judy Hoang | Optometrist | 8910 Bandera Rd Ste 105, San Antonio, TX 78250-3227 | 2020-10-19 |
| 1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
| 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.