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Organization

EDWARD BUSTAMANTE

Active
Other names
Crystal Clear Vision
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD BUSTAMANTE OD (OPTOMETRIST)
(210) 563-9694
Entity
Organization

Contact information

Practice address
1314 E SONTERRA BLVD STE 103, SAN ANTONIO, TX 78258-4279
(210) 563-9694
Mailing address
1314 E SONTERRA BLVD STE 103, SAN ANTONIO, TX 78258-4279

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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