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Contact Information

CRYSTAL VISION, LLC
909 HARTFORD TPKE
WATERFORD, CT06385-4267
 Phone: 860-442-0380
 Fax: 860-442-0831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for CRYSTAL VISION, LLC

NPI # 1760556393
LBN Legal business name CRYSTAL VISION, LLC
Authorized official BRIAN MANN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 12/17/2008 - About 17 years ago
Identifiers n/a
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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