Organization
CRYSTAL VISION OPTOMETRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEENA GAYAKWAD ADHIKARI OD (OWNER)
(909) 980-5552
Entity
Organization
Contact information
Practice address
11940 EAST FOOTHILL BLVD, SUITE 103, RANCHO CUCAMONGA, CA 91739-9173
(909) 234-4222
(909) 568-2413
Mailing address
11940 EAST FOOTHILL BLVD, SUITE 103, RANCHO CUCAMONGA, CA 91739-2892
(909) 234-4222
(909) 568-2413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11575TPL
CA
Other
Enumeration date
10/10/2013
Last updated
04/20/2023
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