Crystal Vision Consultants, LLC
NPI 1184133498ActiveOrganization· Optometrist· Madison Heights, MI
Optometrist in Madison Heights, Michigan, registered in NPPES in September 2017. The authorized official on file is Kenneth Wong, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184133498 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2017 |
| Last updated in NPPES | Jul 29, 2024 |
| Certified by provider | Jul 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004359 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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