Crystal Vision Clinic PA
NPI 1720480007ActiveOrganization· Optometrist· Crystal, MN
Optometrist in Crystal, Minnesota, registered in NPPES in September 2014. The authorized official on file is John Scott Endres, OD, Owner. Enrolled in Medicare as dme supplier - optician and part b supplier - clinic/group practice.
Overview
| NPI | 1720480007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2014 |
| Last updated in NPPES | May 23, 2023 |
| Certified by provider | May 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Optician (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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