Organization
CRYSTAL EYEWEAR INC
Active
Other names
Fabulous Optical
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BANGIYEV (SUPERVISOR)
(646) 321-5802
Entity
Organization
Contact information
Practice address
9015 QUEENS BLVD STE 1029, ELMHURST, NY 11373-4914
(718) 760-2020
Mailing address
9015 QUEENS BLVD STE 1029, ELMHURST, NY 11373-4914
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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