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Contact Information

CRYSTAL CLEAR EYECARE INC.
2979 LINCOLN HWY
SADSBURYVILLE, PA19369
 Phone: 610-857-2291
 Fax: 610-857-2297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CRYSTAL CLEAR EYECARE INC.

NPI Number 1689891368
LBN Legal business name CRYSTAL CLEAR EYECARE INC.
Authorized official DAVID SULAK - (PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2007
Last updated 12/27/2007 - About 18 years ago
Identifiers
PA License # OEG001443
PA Medicaid 0018808050004
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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