CRYSTAL CLEAR EYEGLASS


Address: 4946 N 5th St, 1st Fl, Philadelphia, PA 19120
Phone: 2159244142

CRYSTAL CLEAR EYEGLASS (NPI# 1215148564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215148564
Entity Type Organization
Organization Name CRYSTAL CLEAR EYEGLASS
Practice Address 4946 N 5th St
1st Fl
Philadelphia
PA 19120
Practice Telephone 2159244142
Practice Fax Number 2159244143
Mailing Telephone 2159244142
Mailing Fax Number 2159244143
Enumeration Date 2007-05-25
Last Update Date 2020-08-22
Authorized Official Name TOMAS L CASTILLO (OWNER OPTICIAN)
Authorized Official Telephone 2159244142
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 4946 N 5TH ST
1ST FL
City PHILADELPHIA
State PA
Zip Code 19120

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1639684665 Christopher Brown Technician/Technologist 6831 N 9th St, Philadelphia, PA 19126-2904 2017-12-13
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1841625928 Market St Optical Inc Technician/Technologist 1325 Market St, Philadelphia, PA 19107-2500 2013-09-09
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1982039061 Aramingo Optical Inc Technician/Technologist 3853 Aramingo Ave, Philadelphia, PA 19137-1003 2013-09-09
1548513625 Bernadette Ford Technician/Technologist 715 S Ithan St, Philadelphia, PA 19143-2809 2012-10-26
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Competitor

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City PHILADELPHIA
Zip Code 19120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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