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✓ Licensed & Credentialed Optometrist (152W00000X)

20-20 CRYSTAL CLEAR VISION PA (NPI #1962657205)

Optometrist • SAN ANTONIO, TX • Status: Active Federal Registration

Plain-English Taxonomy Translation (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates in plain language to:
"Licensed & Credentialed Optometrist"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 20-20 CRYSTAL CLEAR VISION PA:

High-Volume Clinical Procedures & Diagnostics:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic & Prescribing Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1962657205 (NPI-2 Organization / Facility)
Provider / Legal Name20-20 CRYSTAL CLEAR VISION PA
Plain-English SpecialtyLicensed & Credentialed Optometrist
NUCC Code: 152W00000X (Optometrist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address10004 WURZBACH RD, SAN ANTONIO, TX, 782302214
Practice Telephone / FaxTel: 210-563-9694
Administrative Mailing AddressPO BOX 781603, SAN ANTONIO, TX, 782781603
Enumeration & Last SyncEnumerated: 2008-12-01 | Updated: 2010-04-29
Authorized OfficialEDWARD BUSTAMANTE (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10004 WURZBACH RD, SAN ANTONIO, TX, 782302214

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
152W00000X — Optometrist
Plain English: Licensed & Credentialed Optometrist		State: N/A | License: Verified | Primary Taxonomy: Yes