Organization
CRYSTAL CLEAR VISION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ERICKSEN (ASSISTANT)
(845) 692-5800
Entity
Organization
Contact information
Practice address
88 DUNNING RD STE 16, MIDDLETOWN, NY 10940-2218
(845) 692-5800
(845) 692-5880
Mailing address
88 DUNNING RD STE 16, MIDDLETOWN, NY 10940-2218
(845) 692-5800
(845) 692-5880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02706105
—
NY
Enumeration date
11/20/2006
Last updated
02/20/2025
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