Organization
KRYSTAL VISION AND SUNWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE J JOHNSON (OWNER OPTICIAN)
(435) 787-2593
Entity
Organization
Contact information
Practice address
550 E 1400 N, SUITE P, LOGAN, UT 84341-2406
(435) 787-2593
(435) 753-2427
Mailing address
550 E 1400 N, SUITE P, LOGAN, UT 84341-2406
(435) 787-2593
(435) 753-2427
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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