Organization
CRYSTAL VIEW EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH K. SWEZEY O.D. (OWNER--OPTOMETRIST)
(507) 726-6639
Entity
Organization
Contact information
Practice address
102 W HUMPHREY ST, LAKE CRYSTAL,, MN 56055-0158
(507) 726-6639
(507) 726-6382
Mailing address
PO BOX 158, 102 W HUMPHREY ST, LAKE CRYSTAL, MN 56055-0158
(507) 726-6639
(507) 726-6382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2215
MN
332H00000X
Eyewear Supplier
Primary
2215
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114270
UCARE CLINIC ID#
MN
01
—
22-20126
MEDICA ID#
MN
05
—
248078600
—
MN
05
—
280025000
—
MN
01
—
35770CR
BCBS OF MN CLINIC ID#
MN
01
—
38204
HEALTH PARTNERS OFFICE ID
MN
01
—
4C995CR
BCBS OF MN ID# (PRODUCT)
MN
Enumeration date
03/29/2007
Last updated
07/16/2008
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