NPI 1205012416

Krystal Clear Optical INC.

Organisation Eyewear Supplier Carlsbad, NM

Practice location

Address: 203 W Fox St, Carlsbad, NM 88220-5736
Phone: (575) 887-2919
Fax: (575) 885-2713

Authorised official

Name: Katherine L Caddell
Title: Co Owner
Phone: (575) 887-2919

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 02-477397-00-2 (NM)

Other Eyewear Supplier providers in New Mexico →

Registry record

NPI: 1205012416
Entity type: Organization
NPI issued: 17 Jan 2008
Record last updated: 17 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.