Provider Demographics
NPI:1528593654
Name:CRYSTAL'S OPTICS INC
Entity Type:Organization
Organization Name:CRYSTAL'S OPTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:646-523-3456
Mailing Address - Street 1:11734 SUTPHIN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-1546
Mailing Address - Country:US
Mailing Address - Phone:646-523-3456
Mailing Address - Fax:718-845-0901
Practice Address - Street 1:11734 SUTPHIN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1546
Practice Address - Country:US
Practice Address - Phone:646-523-3456
Practice Address - Fax:718-845-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier