| NPI | 1407976780 |
|---|---|
| Former Legal Business Name | CRYSTAL VISION CENTER, P.C. |
| Entity Type | Organization |
| Authorized Contact | KATHRYN L YORKE Owner 979-764-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TX 2905T) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-05-15 |