Crystal Clear Vision Corp.
NPI 1932273026ActiveOrganization· Optometrist· Middletown, NY
Optometrist in Middletown, New York, registered in NPPES in November 2006. The authorized official on file is Michelle Ericksen, Assistant. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932273026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Feb 20, 2025 |
| Certified by provider | Feb 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 002805 | NY |
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 Part B Supplier - Clinic/Group Practice (NY) |
|---|
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