| Krystal Vision Center Inc | |
|
6533 Roosevelt Blvd, Philadelphia, PA 19149-2918 | |
| (215) 744-6727 | |
| Not Available |
| Full Name | Krystal Vision Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6533 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609806777 | NPI | - | NPPES |
| HIGHMARK | Other | PA | 1626663 |
| AETNA | Other | PA | 3548372 |
| IBC | Other | PA | 2308658000 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000225 (Pennsylvania) | Primary |
| Provider Name | Krystal T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538109590 PECOS PAC ID: 3870533565 Enrollment ID: I20050512000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Vision Center Inc 6533 Roosevelt Blvd, Philadelphia, PA 19149-2918 Ph: (215) 744-6727 | Krystal Vision Center Inc 6533 Roosevelt Blvd, Philadelphia, PA 19149-2918 Ph: (215) 744-6727 |
Nia Phillips, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6096 | |
Daniel Hoffman, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Carlo J Pelino, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Jean Marie Pagani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6167 | |
Angela Tempesta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 W Girard Ave, Philadelphia, PA 19123 Phone: 215-554-6222 | |
Elizabeth Marie Marunde, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Melissa A Vitek, OPTOMETRIST Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 |