Organization
CRYSTAL VISION CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SCOTT ENDRES OD (OWNER)
(763) 537-3213
Entity
Organization
Contact information
Practice address
5730 BOTTINEAU BLVD., CRYSTAL, MN 55429-3104
(763) 537-3213
Mailing address
5730 BOTTINEAU BLVD, CRYSTAL, MN 55429-3181
(763) 537-3213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
05/23/2023
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