Organization
CRYSTAL EYES OPTICAL, LLC
Active
Organization
CRYSTAL EYES OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLESS SESSIONS LICENSED OPTICIAN (OWNER/MANAGER)
(772) 978-1172
Entity
Organization
Contact information
Practice address
4165 9TH ST SW, SUITE 106, VERO BEACH, FL 32968-4878
(772) 978-1172
(772) 978-1173
Mailing address
4165 9TH ST SW, SUITE 106, VERO BEACH, FL 32968-4878
(772) 978-1172
(772) 978-1173
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DO5603
FL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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