Organization
CRYSTAL CLEAR EYEGLASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS L CASTILLO (OWNER OPTICIAN)
(215) 924-4142
Entity
Organization
Contact information
Practice address
4946 N 5TH ST, 1ST FL, PHILADELPHIA, PA 19120
(215) 924-4142
(215) 924-4143
Mailing address
4946 N 5TH ST, 1ST FL, PHILADELPHIA, PA 19120
(215) 924-4142
(215) 924-4143
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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