Crystal Clear Optique

LBN: Crystal Clear Optique
Crystal Clear Optique is an health care organization with primary practice located at 840 Glynn St S Ste 344 , Fayetteville GA 30214-2004. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Crystal Clear Optique can be contacted via phone (770) 716-7414, or through Wade, Crystal via phone (770) 716-7414.

Contact Information

Primary practice address
840 Glynn St S Ste 344 Fayetteville GA 30214-2004
Phone: (770) 716-7414
Fax: (770) 716-7498
Website:
Map and Directions
Authorized official contact:
Name: Wade, Crystal
Phone: (770) 716-7414

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Vision Therapy 152WV0400X
Eye and Vision Services Providers / Contact Lens 156FC0800X
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1255927240
LBN Legal business name Crystal Clear Optique
DBA Doing business as
Authorized official Wade, Crystal
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2020
Last updated Dec 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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