Organization
KRYSTAL CLEAR OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE L CADDELL OPTICIAN (CO OWNER)
(575) 887-2919
Entity
Organization
Contact information
Practice address
203 W FOX ST, CARLSBAD, NM 88220-5736
(575) 887-2919
(575) 885-2713
Mailing address
203 W FOX ST, CARLSBAD, NM 88220-5736
(575) 887-2919
(575) 885-2713
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
02-477397-00-2
NM
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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