Active NPIIndividual provider

Dr. Crystal L Deluca, OD

Optometrist in West Haven, Connecticut

NPI Number1043445539
Practice location
950 Campbell Ave, West Haven, CT 06516-2770
Fax
203-479-8118
Last updated
June 21, 2010

Crystal Lynn Deluca is an Optometrist based in West Haven, CT. Crystal Lynn Deluca practices in West Haven, CT and has the professional credentials of OD. The NPI Number for Crystal Lynn Deluca is 1043445539 and holds a License No. 2785 (CT). The current practice location address for Crystal Lynn Deluca is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711 and via fax at 203-479-8118.

Provider Profile Details

NPI Number
1043445539
Provider Name
Crystal Lynn Deluca
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
950 Campbell Ave, West Haven, CT 06516-2770
Phone Number
203-932-5711
Fax Number
203-479-8118
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2009
Last Update Date
June 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Campbell Ave
West Haven, CT 06516-2770
Zip
06516-2770
Phone Number
203-932-5711
Fax Number
203-479-8118
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
6406 S 164TH Cir
Omaha, NE 68135-6376
City
Omaha
State
NE
Zip
68135-6376
Phone Number
402-319-9257

License Information

License Number (1)
2785
License State (1)
CT
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
1341
License State (2)
NE
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Crystal L Deluca, OD?

The NPI number of Dr. Crystal L Deluca, OD is 1043445539. It was assigned on May 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Crystal L Deluca, OD?

Dr. Crystal L Deluca, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2785.

Where does Dr. Crystal L Deluca, OD practice?

The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone) or 203-479-8118 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043445539 directly on the NPPES registry website.

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