CRYSTAL VISION CLINIC
NPI 1215934880
Optometrist in Crystal, MN
NPI Status: Active since June 28, 2005
Contact Information
5200 DOUGLAS DR N
CRYSTAL, MN
ZIP 55429
Phone: (763) 537-3213
Fax: (763) 537-6732
- Organization
- Optometrist
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 24D2251825
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-06-2028
About CRYSTAL VISION CLINIC
This page provides the complete NPI Profile along with additional information for Crystal Vision Clinic, a provider established in Crystal, Minnesota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1215934880 assigned on June 2005. The practitioner's primary taxonomy code is 152W00000X with license number 3117442 (MN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Crystal Vision Clinic. The authorized official of this NPI record is James J Hess O.d. (Partner/optometrist)
- NPI
- 1215934880
- Provider Legal Name
- JAMES J HESS & SCOTT ENDRES
- Other Organization Name
- CRYSTAL VISION CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5200 DOUGLAS DR N CRYSTAL, MN 55429
- Location Phone
- (763) 537-3213
- Location Fax
- (763) 537-6732
- Mailing Address
- 5200 DOUGLAS DR N CRYSTAL, MN 55429
- Mailing Phone
- (763) 537-3213
- Mailing Fax
- (763) 537-6732
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-28-2005
- Last Update Date
- 08-17-2018
- Code Navigator
Crystal Vision Clinic is a medicare supplier with PTAN 20487323 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Prosthetics Cataract Lenses.
Location Map
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
- License No.
- 3117442
- License State
- MN
- 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.
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.
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 |
|---|---|---|---|
| 144823400 | OTHER (01) | MN | MA - DISP |
| 615 | OTHER (01) | MN | HEALTH PARTNERS |
| 21-15970 | OTHER (01) | MN | MEDICA CHOICE DISP |
| 10184LU | OTHER (01) | MN | BLUE CROSS/BLUE SHIELD |
| 130829 | OTHER (01) | MN | COLE MANAGED VISION |
| 419272900 | MEDICAID (05) | MN | |
| ========= | OTHER (01) | MN | ARAZ/AMERICA'S PPO |
| CK7217 | OTHER (01) | MN | MEDICARE RAILROAD |
| 101878 | OTHER (01) | MN | UCARE SRS ANDMN |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20487323
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2251825
- Facility Type
- Physician Office
- Certificate Effective Date
- February 07, 2026
- Certificate Expiration Date
- February 06, 2028
- Laboratory Director
- CHASE J. ENDRES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crystal Vision Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215934880, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215934880, enumerated as an "organization" on June 28, 2005.
The provider is located at 5200 DOUGLAS DR N CRYSTAL, MN 55429 and the phone number is (763) 537-3213.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
