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Organization
CRYSTAL CLEAR OPTICS
Active
Organization
CRYSTAL CLEAR OPTICS
Active
Other names
Optique LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MIA B CORRIEA RDO (PRESIDENT/ OPTICIAN)
(508) 947-6300
Entity
Organization
Contact information
Practice address
10 MERCHANTS WAY, SUITE H, MIDDLEBORO, MA 02346
(508) 947-6300
(508) 946-0900
Mailing address
10 MERCHANTS WAY, SUITE H, MIDDLEBORO, MA 02346
(508) 947-6300
(508) 946-0900
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MA4970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537024
—
MA
01
—
Q00345
BLUE CROSS BL;UE SHEILD
MA
Enumeration date
10/04/2006
Last updated
01/18/2008
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