Organization
CRYSTAL VISION CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KIM O.D. (OPTOMETRIST)
(714) 469-1478
Entity
Organization
Contact information
Practice address
18700 ALDERWOOD MALL PKWY, LYNNWOOD, WA 98037
(425) 640-6532
(425) 640-7518
Mailing address
3829 177TH PL SW, LYNNWOOD, WA 98037-7528
(714) 469-1478
(425) 640-7518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60188672
WA
Other
Enumeration date
05/07/2015
Last updated
09/07/2019
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