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Individual

DR. CRYSTAL MARIE EDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
8700 NE VANCOUVER MALL DR STE 232, VANCOUVER, WA 98662-6418
(360) 882-9355
Mailing address
700 WATERFRONT WAY APT 726, VANCOUVER, WA 98660-3534
(360) 852-1984

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1635
NE
152W00000X
Optometrist
3987-35
WI
152W00000X
Optometrist
Primary
60391130
WA
152W00000X
Optometrist
ATI3504
OR
152W00000X
Optometrist
OEG004008
PA
152W00000X
Optometrist
OPT-002711
AZ
152W00000X
Optometrist
OPT003534
GA
152W00000X
Optometrist
TA2910
MD
152W00000X
Optometrist
TPOP146
FL

Other

Enumeration date
10/06/2010
Last updated
05/30/2024
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