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Contact Information

CRYSTAL OPTICAL PLLC
401 E BELL RD STE 24
PHOENIX, AZ85022
 Phone: 602-375-1041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CRYSTAL OPTICAL PLLC · (Female)

NPI Number 1295241610
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2017
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 1717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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