Organization
CRYSTAL OPTOMETRIC EYECARE, P.C.
Active
Other names
Crown Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK CHONG O.D. (PRESIDENT)
(718) 595-2266
Entity
Organization
Contact information
Practice address
300 ROUTE 18, MIDSTATE MALL, SUITE#32B, EAST BRUNSWICK, NJ 08816-1912
(732) 651-8188
(732) 651-8199
Mailing address
18015 64TH AVE, FRESH MEADOWS, NY 11365-2101
(718) 595-2266
(718) 595-2292
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
27OA00582400
NJ
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00612000
NJ
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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