Organization
CRYSTAL CLEAR VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CHEW O.D. (OPTOMETRIST OWNER)
(415) 677-9930
Entity
Organization
Contact information
Practice address
781 VALLEJO ST, SAN FRANCISCO, CA 94133-3834
(415) 677-9930
(415) 677-9599
Mailing address
781 VALLEJO ST, SAN FRANCISCO, CA 94133-3834
(415) 677-9930
(415) 677-9599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09873T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004530
—
CA
Enumeration date
10/31/2005
Last updated
06/16/2008
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