CRYSTAL VISION OPTOMETRY
NPI 1174573380
Optometrist in Fountain Valley, CA
About Crystal Vision Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL VISION OPTOMETRY (NPI 1174573380) is a healthcare organization registered as an optometrist in Fountain Valley, California and active in the NPI registry since May 2006. The organization lists Anh-linh Teresa Nguyen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Vision Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal Vision Optometry, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vision Optometry, A Professional Corporation's NPI number?
The NPI number for Crystal Vision Optometry, A Professional Corporation is 1174573380. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Crystal Vision Optometry.
Where is Crystal Vision Optometry, A Professional Corporation located?
Crystal Vision Optometry, A Professional Corporation is located at 16125 Harbor Blvd, Fountain Valley, CA 92708. The listed phone number is (714) 531-9900.
What is Crystal Vision Optometry, A Professional Corporation's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Crystal Vision Optometry, A Professional Corporation enrolled in Medicare?
Yes. Crystal Vision Optometry, A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crystal Vision Optometry, A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Crystal Vision Optometry, A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Vision Optometry, A Professional Corporation was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Crystal Vision Optometry · NPI 1174573380
Optometrist organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1174573380 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Crystal Vision Optometry, A Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Anh-Linh Nguyen, PRESIDENT
## Practice location
- **Address:** 16125 HARBOR BLVD, Fountain Valley, CA 92708-1305
- **Phone:** (714) 531-9900 · **Fax:** (714) 531-0236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2019
- **Other identifiers:** Medicaid SD0101460 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174573380) · Data from the CMS NPPES public registry.