CRYSTALEYES, LLC
NPI 1285383737
Optometrist in South Windsor, CT

NPI Status: Active since March 22, 2022

Contact Information

1220 TAMARACK AVENUE
INDEPENDENT OPTOMETRISTS INSIDE OF COSTCO
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 474-4046
Fax: (860) 474-4045

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  • Organization
  • Optometrist

About CRYSTALEYES, LLC

This page provides the complete NPI Profile along with additional information for Crystaleyes, Llc, a provider established in South Windsor, Connecticut operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1285383737 assigned on March 2022. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Devina Patel, O.d., Llc. The authorized official of this NPI record is Dr. Devina Patel O.d., Faao (Owner, Managing Member)

NPI
1285383737
Provider Legal Name
CRYSTALEYES, LLC
Other Organization Name
DEVINA PATEL, O.D., LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1220 TAMARACK AVENUE INDEPENDENT OPTOMETRISTS INSIDE OF COSTCO SOUTH WINDSOR, CT 06074
Location Phone
(860) 474-4046
Location Fax
(860) 474-4045
Mailing Address
1220 TAMARACK AVE SOUTH WINDSOR, CT 06074
Mailing Phone
(860) 474-4046
Mailing Fax
(860) 474-4045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2022
Last Update Date
11-07-2022
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Location Map

Secondary Locations

  • 44 Prospect Hill Rd, Ste 700 Independent Optometrists inside WalMart Vision Center
    East Windsor, CT 06088
    (860) 623-7910

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEVINA PATEL O.D., FAAO

Authorized Official Title
OWNER, MANAGING MEMBER
Authorized Official Phone
(860) 474-4046

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1588895700MEDICAID (05)CT 
1538475132MEDICAID (05)CT 
1831219278MEDICAID (05)CT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285383737
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216568676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 8 + 6 + 7 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1285383737 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588895700DR. DEVINA P. PATEL O.D., F.A.A.O.
Individual
Optometrist1220 TAMARACK AVENUE INDEPENDENT OPTOMETRIST INSIDE OF COSTCO
SOUTH WINDSOR, CT 06074
(860) 474-4046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285383737, enumerated in the NPI registry as an "organization" on March 22, 2022

The provider is located at 1220 Tamarack Avenue Independent Optometrists Inside Of Costco South Windsor, Ct 06074 and the phone number is (860) 474-4046

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 22, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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