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Organization

CRYSTAL CLEAR VISION, LLC

Active
Other names
Pure Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUSTIN L SANEHOLTZ O.D. (OWNER)
(419) 874-3661
Entity
Organization

Contact information

Practice address
1021 SANDUSKY ST STE E, PERRYSBURG, OH 43551-3201
(419) 874-3661
(419) 872-5195
Mailing address
1021 SANDUSKY ST STE E, PERRYSBURG, OH 43551-3201
(419) 874-3661
(419) 872-5195

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5820/T2734
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3126254
OH
Enumeration date
07/09/2014
Last updated
09/19/2023
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