KRYSTAL CLEAR OPTICAL INC.; NPI #1205012416

Contact Information

KRYSTAL CLEAR OPTICAL INC.

203 W FOX ST
CARLSBAD, NM 88220-5736

Phone: 575-887-2919
Fax: 575-885-2713
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KRYSTAL CLEAR OPTICAL INC.

NPI # 1205012416

LBN Legal business name KRYSTAL CLEAR OPTICAL INC.

Authorized official KATHERINE CADDELL - (CO OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2008

Last updated 01/17/2008 - About 18 years ago

Identifiers

License #

02-477397-00-2

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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KRYSTAL CLEAR OPTICAL INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for KRYSTAL CLEAR OPTICAL INC.

Reviews for KRYSTAL CLEAR OPTICAL INC.