KRYSTAL CLEAR OPTICAL INC. NPI 1205012416

NPI Information

  • NPI: 1205012416
  • Provider Name: KRYSTAL CLEAR OPTICAL INC.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 203 W FOX ST
    CARLSBAD, NM
    ZIP 88220
  • Phone: (575) 887-2919

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NPI Details

KRYSTAL CLEAR OPTICAL INC. is an eyewear supplier in Carlsbad, NM. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KRYSTAL CLEAR OPTICAL INC. NPI is 1205012416. The provider is registered as an organization entity type.

The provider's business location address is:

203 W FOX ST
CARLSBAD, NM
ZIP 88220-736
Phone: (575) 887-2919
Fax: (575) 885-2713

The provider's authorized official is Katherine L Caddell .
The authorized official title is Co Owner and has the following contact phone number (575) 887-2919.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 1/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier02-477397-00-2NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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