Crystal Clear Vision Corp.

LBN: Crystal Clear Vision Corp.
Crystal Clear Vision Corp. is an health care organization with primary practice located at 1 N Galleria Dr Ste 126N , Middletown NY 10941-3028. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Crystal Clear Vision Corp. can be contacted via phone (845) 692-5800, or through Ericksen, Michelle via phone (845) 692-5800.

Contact Information

Primary practice address
1 N Galleria Dr Ste 126N Middletown NY 10941-3028
Phone: (845) 692-5800
Fax: (845) 692-5880
Website:
Map and Directions
Authorized official contact:
Name: Ericksen, Michelle
Phone: (845) 692-5800

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002805 New York

Profile Details

NPI number 1932273026
LBN Legal business name Crystal Clear Vision Corp.
DBA Doing business as
Authorized official Ericksen, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 23rd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932273026 NPPES
New York MEDICAID 02706105

Popular Providers