Crystal Vision Center

LBN: Lis Corporation
Crystal Vision Center is an health care organization with primary practice located at 1018 Wyoming Ave , Wyoming PA 18644-1331. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lis Corporation can be contacted via phone (570) 288-7471, or through Lisses, Lewis via phone (570) 288-7471.

Contact Information

Primary practice address
1018 Wyoming Ave Wyoming PA 18644-1331
Fax: (570) 288-8142
Website:
Authorized official contact:
Name: Lisses, Lewis Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0896140001 Pennsylvania

Profile Details

NPI number 1891849063
LBN Legal business name Lis Corporation
DBA Doing business as Crystal Vision Center
Authorized official Lisses, Lewis Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 2nd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891849063 NPPES
Pennsylvania Other 1053382994 NPI INDIVIDUAL
Pennsylvania Other 1891849063 NPI INDIVIDUAL

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