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20-20 Crystal Clear Vision PA

NPI 1962657205ActiveOrganization· Optometrist· San Antonio, TX

Optometrist in San Antonio, Texas, registered in NPPES in December 2008. The authorized official on file is Edward Bustamante, O.D.,M.B.A, President.

Overview

NPI1962657205
StatusActive
Entity typeOrganization
NPI issuedDec 1, 2008
Last updated in NPPESApr 29, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Optometrist providers in San Antonio

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