CRYSTAL LAKE OPTICAL INC.
NPI 1124269030
Optometrist in Crystal Lake, IL

Active since March 23, 2009
6314 NORTHWEST HWY, CRYSTAL LAKE, IL 60014(815) 459-4074(815) 459-4061 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Lake Optical Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE OPTICAL INC. (NPI 1124269030) is a healthcare organization registered as an optometrist in Crystal Lake, Illinois and active in the NPI registry since March 2009. The organization lists Richard Surowiak, President, as its authorized official.

NPPES Registry Identity

NPI1124269030
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCRYSTAL LAKE OPTICAL INC.
Location Address6314 NORTHWEST HWYCrystal Lake, IL 60014-7935
Mailing Address6314 Northwest HwyCrystal Lake, IL 60014-7935 · (815) 459-4074 · Fax (815) 459-4061
Fax(815) 459-4061
Organization SubpartNo
Authorized OfficialRichard SurowiakPresident · (815) 459-4074
Enumeration DateMarch 23, 2009
NPI 1124269030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
6314 NORTHWEST HWY, Crystal Lake, IL 60014

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist
6314 NORTHWEST HWY, THE COMMONS SHOPPING CENTER
CRYSTAL LAKE, IL 60014
Optometrist
6314 NORTHWEST HWY
CRYSTAL LAKE, IL 60014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lake Optical Inc.'s NPI number?

The NPI number for Crystal Lake Optical Inc. is 1124269030. It was assigned to this organization in the NPPES registry on March 23, 2009.

Where is Crystal Lake Optical Inc. located?

Crystal Lake Optical Inc. is located at 6314 Northwest Hwy, Crystal Lake, IL 60014. The listed phone number is (815) 459-4074.

What is Crystal Lake Optical Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Optical Inc. was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.