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Organization

CRYSTAL LENS OPTICAL LLC

Active
Other names
Crystal Lens Optical LLC
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD A FORSZT O.D (O.D)
(973) 773-2020
Entity
Organization

Contact information

Practice address
CRYSTAL LENS OPTICAL LLC, 670 MAIN AVE, PASSAIC, NJ 07055-5171
(973) 773-2020
(973) 773-2011
Mailing address
CRYSTAL LENS OPTICAL LLC, 670 MAIN AVE, PASSAIC, NJ 07055-5171
(973) 773-2020
(973) 773-2011

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
05/20/2021
Last updated
05/20/2021
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