CRYSTAL EYEWEAR INC
NPI 1770068645
Technician/Technologist - Optician in Elmhurst, NY
About Crystal Eyewear Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL EYEWEAR INC (NPI 1770068645), doing business as Fabulous Optical, is a healthcare organization registered as an optician in Elmhurst, New York and active in the NPI registry since September 2018. The organization lists Boris Bangiyev, Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
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 Eyewear Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Crystal Eyewear Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (12)
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 Eyewear Inc's NPI number?
The NPI number for Crystal Eyewear Inc is 1770068645. It was assigned to this organization in the NPPES registry on September 26, 2018. The provider is doing business as Fabulous Optical.
Where is Crystal Eyewear Inc located?
Crystal Eyewear Inc is located at 9015 Queens Blvd Ste 1029, Elmhurst, NY 11373. The listed phone number is (718) 760-2020.
What is Crystal Eyewear Inc's specialty?
The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.
Is Crystal Eyewear Inc enrolled in Medicare?
Yes. Crystal Eyewear Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crystal Eyewear Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Optometry, reassign their Medicare billing to Crystal Eyewear Inc. 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. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Crystal Eyewear Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Crystal Eyewear Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Crystal Eyewear Inc was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Eyewear Inc · NPI 1770068645
Optician organization in Elmhurst, New York. Organization record, active in the CMS NPPES registry since September 26, 2018.
## Identity
- **NPI:** 1770068645 (Entity type: Organization)
- **Enumerated:** September 26, 2018
- **Primary specialty:** Technician/Technologist - Optician · taxonomy 156FX1800X
- **Also known as:** Fabulous Optical (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Boris Bangiyev, SUPERVISOR
## Practice location
- **Address:** 9015 QUEENS BLVD STE 1029, Elmhurst, NY 11373-4914
- **Phone:** (718) 760-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1770068645) · Data from the CMS NPPES public registry.