# CRYSTAL OPTOMETRIC EYECARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crown Eyecare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356633937
- **Authorized official:** DR. DEREK CHONG O.D. (PRESIDENT)
- **Authorized official phone:** (718) 595-2266

## Contact information

- **Practice address:** 300 ROUTE 18, MIDSTATE MALL, SUITE\#32B, EAST BRUNSWICK, NJ 08816-1912
- **Practice address phone:** (732) 651-8188
- **Practice address fax:** (732) 651-8199
- **Mailing address:** 18015 64TH AVE, FRESH MEADOWS, NY 11365-2101
- **Mailing address phone:** (718) 595-2266
- **Mailing address fax:** (718) 595-2292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 27OA00582400 | NJ | — |
| 152WC0802X | Corneal and Contact Management Optometrist | 27OA00612000 | NJ | Yes |

## Other

- **Enumeration date:** 05/13/2011
- **Last updated:** 05/13/2011