| Crystaleyes, Llc | |
|
1220 Tamarack Avenue, Independent Optometrists Inside Of Costco, South Windsor, CT 06074-5572 | |
| (860) 474-4046 | |
| (860) 474-4045 |
| Full Name | Crystaleyes, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1220 Tamarack Avenue, South Windsor, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285383737 | NPI | - | NPPES |
| 1588895700 | Medicaid | CT | |
| 1538475132 | Medicaid | CT | |
| 1831219278 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Alireza Jabbari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538475132 PECOS PAC ID: 5294955464 Enrollment ID: I20141010000692 |
| Provider Name | Devina P Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588895700 PECOS PAC ID: 6608056940 Enrollment ID: I20150917001800 |
| Provider Name | Christina Marie Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831219278 PECOS PAC ID: 5193021772 Enrollment ID: I20160308000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystaleyes, Llc 1220 Tamarack Ave, South Windsor, CT 06074-5572 Ph: (860) 474-4046 | Crystaleyes, Llc 1220 Tamarack Avenue, Independent Optometrists Inside Of Costco, South Windsor, CT 06074-5572 Ph: (860) 474-4046 |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 93 Evergreen Way Unit C, South Windsor, CT 06074 Phone: 860-644-4362 Fax: 860-432-1012 | |
Dr. Christian O Marrero, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 93 Evergreen Way Unit C, South Windsor, CT 06074 Phone: 860-644-4362 | |
Dr. Michael J Aucello, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 93 Evergreen Way, South Windsor, CT 06074 Phone: 860-644-4362 Fax: 860-667-0770 | |
Dr. Devina P. Patel, O.D., F.A.A.O. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1220 Tamarack Avenue, Independent Optometrist Inside Of Costco, South Windsor, CT 06074 Phone: 860-474-4046 Fax: 860-474-4045 | |
Mrs. Susan Evans, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 93 Evergreen Way, South Windsor, CT 06074 Phone: 860-826-4460 Fax: 860-826-4436 | |
Dr. Aucello & Associates, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 93 Evergreen Way, South Windsor, CT 06074 Phone: 860-644-4362 Fax: 860-667-0770 |