| NPI | 1154631299 |
|---|---|
| Doing Business As | CRYSTAL CLEAR IMAGE OPTICAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | RICHARD A SYLVESTER President 972-334-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX t5346) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX t5346) |
| 152WX0102X Optometrist, Occupational Vision (Licence: TX t5346) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |