Crystal Vision Clinic PA
NPI 1720480007 · Optometrist · Crystal, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Vision Clinic PA is a Optometrist organization in Crystal, MN (NPI 1720480007).
Provider details
- NPI number
- 1720480007
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- John Endres, Owner(763) 537-3213
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-09-18
- Last updated
- 2023-05-23
- Certified
- 2023-05-08
Frequently asked questions
- What is Crystal Vision Clinic PA's NPI number?
- Crystal Vision Clinic PA's National Provider Identifier (NPI) is 1720480007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Vision Clinic PA?
- Crystal Vision Clinic PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Crystal Vision Clinic PA located?
- Crystal Vision Clinic PA's practice location on file with NPPES is 5730 Bottineau Blvd., Crystal, MN 55429-3104.
- What is Crystal Vision Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Crystal Vision Clinic PA is (763) 537-3213.
- Does Crystal Vision Clinic PA accept Medicare?
- Crystal Vision Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crystal Vision Clinic PA?
- The authorized official listed on Crystal Vision Clinic PA's NPPES record is John Endres, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Vision Clinic PA's NPI active?
- Yes — Crystal Vision Clinic PA's NPI (1720480007) is active in the NPPES registry as of the last update on 2023-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.