Crystal Vision Clinic Pa - Medicare Optometrist in Crystal, MN

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Crystal Vision Clinic Pa is a medicare enrolled "Optometrist" provider in Crystal, Minnesota. Their current practice location is 5730 Bottineau Blvd., Crystal, Minnesota. You can reach out to their office (for appointments etc.) via phone at (763) 537-3213.

Crystal Vision Clinic Pa is licensed to practice in NU (license number ) and it also participates in the medicare program. Crystal Vision Clinic Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720480007.

Contact Information

Crystal Vision Clinic Pa
5730 Bottineau Blvd.,
Crystal, MN 55429-3104
(763) 537-3213
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCrystal Vision Clinic Pa
TypeFacility
SpecialityOptometrist
Location5730 Bottineau Blvd., Crystal, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720480007
  • Provider Enumeration Date: 09/18/2014
  • Last Update Date: 05/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860716396
  • Enrollment ID: O20150109002151

Medical Identifiers

Medical identifiers for Crystal Vision Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720480007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crystal Vision Clinic Pa acts as a billing entity for following providers:
Provider NameChase J Endres
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700263738
PECOS PAC ID: 7113239492
Enrollment ID: I20150629001967
Provider NameLauren E Bruehl
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083106314
PECOS PAC ID: 3375888258
Enrollment ID: I20181220002576
Provider NameEmily Boss
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265924088
PECOS PAC ID: 8729401880
Enrollment ID: I20200708000178
Provider NameSuzette Skavlem
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790267987
PECOS PAC ID: 2668871344
Enrollment ID: I20220406001468
Provider NameSamira F Qazi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740513803
PECOS PAC ID: 2769529593
Enrollment ID: I20250908003008

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Vision Clinic Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Vision Clinic Pa
5730 Bottineau Blvd,
Crystal, MN 55429-3181

Ph: (763) 537-3213		Crystal Vision Clinic Pa
5730 Bottineau Blvd.,
Crystal, MN 55429-3104

Ph: (763) 537-3213

Reviews and Comments


Optometrist in Crystal, MN

Dr. Lauren Elisabeth Bruehl, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5730 Bottineau Blvd, Crystal, MN 55429
Phone: 763-537-3213    
J Scott Endres, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5730 Bottineau Blvd., Crystal, MN 55429
Phone: 763-537-3213    Fax: 763-537-6732
Crystal Vision Clinic
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5200 Douglas Dr N, Crystal, MN 55429
Phone: 763-537-3213    Fax: 763-537-6732
Emily Boss, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5730 Bottineau Blvd., Crystal, MN 55369
Phone: 763-537-3213    
Mary K Laconic, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5200 Douglas Dr N, Crystal, MN 55429
Phone: 763-537-3213    Fax: 763-537-6732
Dr. Aaron Thomas Lahoud, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5546 W Broadway Ave Ste 135, Crystal, MN 55428
Phone: 763-537-8896    Fax: 763-537-8549
Samira F Qazi, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5730 Bottineau Blvd, Crystal, MN 55429
Phone: 763-537-3213    Fax: 763-537-6732

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.