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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

NPI # 1295241610
LBN Legal business name CRYSTAL OPTICAL PLLC
Authorized official DINA HAMIDEH - (MANAGING EMPLOYEE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2017
Last updated 06/19/2018 - About 8 years ago
Identifiers
AZ License # 1717
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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