# CRYSTAL CLEAR EYECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790150225
- **Authorized official:** CRYSTAL GUELDNER O.D (OWNER/OPTOMETRIST)
- **Authorized official phone:** (985) 467-1223

## Contact information

- **Practice address:** 139 W OAK ST, PONCHATOULA, LA 70454-3328
- **Practice address phone:** (985) 467-1223
- **Practice address fax:** (985) 467-0979
- **Mailing address:** PO BOX 2128, PONCHATOULA, LA 70454-2128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1666-700AT | LA | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 02/12/2020