Organization
CRYSTAL VISION, LLC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GEOFFREY MANN O.D. (OWNER)
(860) 442-0380
Entity
Organization
Contact information
Practice address
909 HARTFORD TPKE, WATERFORD, CT 06385-4267
(860) 442-0380
(860) 442-0831
Mailing address
909 HARTFORD TPKE, WATERFORD, CT 06385-4267
(860) 442-0380
(860) 442-0831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Enumeration date
11/17/2006
Last updated
12/17/2008
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