Organization
CRYSTAL VISION CENTER PC
Active
Other names
Crystal Vision Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN L YORKE OD (OWNER)
(979) 764-0669
Entity
Organization
Contact information
Practice address
2551B TEXAS AVE SOUTH, COLLEGE STATION, TX 77840-4629
(979) 764-0669
(979) 694-1940
Mailing address
2551B TEXAS AVE SOUTH, COLLEGE STATION, TX 77840-4629
(979) 764-0669
(979) 694-1940
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2905T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093395402
—
TX
01
—
82FB
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/30/2007
Last updated
05/15/2008
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