NPI | 1972175735 |
---|---|
Doing Business As | DR. CRYSTAL EDISON, O.D. & ASSOCIATES |
Entity Type | Organization |
Authorized Contact | CRYSTAL MARIE EDISON Optometrist 360-852-1984 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-09-08 |