CRYSTAL CLEAR EYEGLASS NPI 1215148564

NPI Information

CRYSTAL CLEAR EYEGLASS is an optician technician technologist in Philadelphia, PA. CRYSTAL CLEAR EYEGLASS NPI is 1215148564. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4946 N 5TH ST
1ST FL
PHILADELPHIA, PA
ZIP 19120
Phone: (215) 924-4142
Fax: (215) 924-4143

The provider's authorized official is Tomas L Castillo .
The authorized official title is Owner Optician and has the following contact phone number (215) 924-4142.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

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:

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