Organization
CRYSTAL VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VEREE JACOBS LICENSED OPTICIAN (GENERAL MANAGER)
(501) 516-1227
Entity
Organization
Contact information
Practice address
2935 LAKEWOOD VILLAGE DR, NORTH LITTLE ROCK, AR 72116-8033
(501) 516-1227
Mailing address
2935 LAKEWOOD VILLAGE DR, NORTH LITTLE ROCK, AR 72116-8033
(501) 516-1227
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L980322
AR
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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