OrganizationActive
Crystal Lake Optical Inc.
NPI 1124269030 · Optometrist · Crystal Lake, IL
Crystal Lake Optical Inc. is a Optometrist organization in Crystal Lake, IL (NPI 1124269030).
Provider details
- NPI number
- 1124269030
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Richard Surowiak, President(815) 459-4074
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6314 Northwest Hwy
Crystal Lake, IL 60014-7935
Phone: (815) 459-4074
Fax: (815) 459-4061
Street-level locationGet directions
Mailing address
6314 Northwest Hwy
Crystal Lake, IL 60014-7935
Registry dates
- Enumerated
- 2009-03-23
- Last updated
- 2009-03-23
Frequently asked questions
- What is Crystal Lake Optical Inc.'s NPI number?
- Crystal Lake Optical Inc.'s National Provider Identifier (NPI) is 1124269030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Lake Optical Inc.?
- Crystal Lake Optical Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Crystal Lake Optical Inc. located?
- Crystal Lake Optical Inc.'s practice location on file with NPPES is 6314 Northwest Hwy, Crystal Lake, IL 60014-7935.
- What is Crystal Lake Optical Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Crystal Lake Optical Inc. is (815) 459-4074.
- Who is the authorized official for Crystal Lake Optical Inc.?
- The authorized official listed on Crystal Lake Optical Inc.'s NPPES record is Richard Surowiak, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Lake Optical Inc.'s NPI active?
- Yes — Crystal Lake Optical Inc.'s NPI (1124269030) is active in the NPPES registry as of the last update on 2009-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.