Organization
CRYSTAL VISION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BASALYGA (CEO)
(570) 961-1400
Entity
Organization
Contact information
Practice address
1759 N KEYSER AVE, SCRANTON, PA 18508-1215
(570) 961-1400
(570) 961-0744
Mailing address
1759 N KEYSER AVE, SCRANTON, PA 18508-1215
(570) 961-1400
(570) 961-0744
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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