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CRYSTAL VISION CLINIC
NPI 1215934880
Optometrist in Crystal, MN

Active since June 28, 2005CLIA 24D2251825 · Waiver
5200 DOUGLAS DR N, CRYSTAL, MN 55429(763) 537-3213(763) 537-6732 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Vision Clinic NPPES

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

CRYSTAL VISION CLINIC (NPI 1215934880) is a healthcare organization registered as an optometrist in Crystal, Minnesota and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists James J Hess, Partner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1215934880
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJAMES J HESS & SCOTT ENDRES
Location Address5200 DOUGLAS DR NCrystal, MN 55429-3104
Mailing Address5200 Douglas Dr NCrystal, MN 55429-3104 · (763) 537-3213 · Fax (763) 537-6732
Phone(763) 537-3213
Fax(763) 537-6732
Organization SubpartNo
Authorized OfficialJames J HessPartner/optometrist · (763) 537-3213
Enumeration DateJune 28, 2005
Last NPPES UpdateAugust 17, 2018
✔ NPI 1215934880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 3117442
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.
5200 DOUGLAS DR N, Crystal, MN 55429
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Other Names 1

Doing Business AsCrystal Vision Clinic

Other Identifiers 8

Other144823400MN · Ma - Disp
Other615MN · Health Partners
Other21-15970MN · Medica Choice Disp
Other10184LUMN · Blue Cross/blue Shield
Other130829MN · Cole Managed Vision
Medicaid419272900MN
OtherCK7217MN · Medicare Railroad
Other101878MN · Ucare Srs Andmn

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2251825

Crystal Vision Clinic · Crystal, MN
Active · expires Feb 6, 2028
CLIA Number24D2251825
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorChase J. Endres
Laboratory Phone(763) 537-3213
Laboratory LocationCrystal Vision Clinic5730 Bottineau Blvd, Crystal, MN 55429
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Crystal Vision Clinic PA carries, from the Medicare DMEPOS supplier directory.

Crystal Vision Clinic PA

DMEPOS supplier · Crystal, MN
✔

Accepts Medicare assignment

Crystal Vision Clinic PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20487323
Medicare Participant SinceSeptember 8, 2014
Supplier Location5730 Bottineau BlvdCrystal, MN 55429
Phone(763) 537-3213
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 12

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

MRS. KATILYN MARIE DAVIS CNP
Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (888) 290-1209
DR. CHRISTINA A BORYCZKA MD
Internal Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628
SARAH MARY JOHNSON FNP-BC
Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628
JENNIFER NELSON NP
Nurse Practitioner (Primary Care)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628
DR. CHRISTINE IRENE TRAXLER MD
Family Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (888) 290-1209
ERIN BLACIK LICSW
Social Worker
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (888) 290-1209
MARY K LACONIC OD
Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 537-3213
JILL TITZE NP
Nurse Practitioner (Adult Health)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628

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 James J Hess & Scott Endres's NPI number?

The NPI number for James J Hess & Scott Endres is 1215934880. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider is doing business as Crystal Vision Clinic.

Where is James J Hess & Scott Endres located?

James J Hess & Scott Endres is located at 5200 Douglas Dr N, Crystal, MN 55429. The listed phone number is (763) 537-3213.

What is James J Hess & Scott Endres's specialty?

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

Does James J Hess & Scott Endres accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Crystal Vision Clinic PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does James J Hess & Scott Endres hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2251825) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for James J Hess & Scott Endres was last updated on August 17, 2018. 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.