Organization
CRYSTALEYES, LLC
Active
Other names
Devina Patel, O.D., LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVINA PATEL O.D., FAAO (OWNER, MANAGING MEMBER)
(860) 474-4046
Entity
Organization
Contact information
Practice address
1220 TAMARACK AVENUE, INDEPENDENT OPTOMETRISTS INSIDE OF COSTCO, SOUTH WINDSOR, CT 06074-5572
(860) 474-4046
(860) 474-4045
Mailing address
1220 TAMARACK AVE, SOUTH WINDSOR, CT 06074-5572
(860) 474-4046
(860) 474-4045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538475132
—
CT
05
—
1588895700
—
CT
05
—
1831219278
—
CT
Enumeration date
03/22/2022
Last updated
11/07/2022
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