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Organization
CRYSTAL OPTOMETRIC EYECARE, P.C.
Active
Organization
CRYSTAL OPTOMETRIC EYECARE, P.C.
Active
Other names
Crown Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK CHONG O.D. (PRESIDENT)
(718) 595-2266
Entity
Organization
Contact information
Practice address
300 ROUTE 18, MIDSTATE MALL, SUITE#32B, EAST BRUNSWICK, NJ 08816-1912
(732) 651-8188
(732) 651-8199
Mailing address
18015 64TH AVE, FRESH MEADOWS, NY 11365-2101
(718) 595-2266
(718) 595-2292
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
27OA00582400
NJ
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00612000
NJ
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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