CRYSTAL CLEAR EYECARE, LLC
Organization (NPI-2)
Active
Optometrist
Provider Information
- NPI Number
1790150225- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 139 W OAK ST, PONCHATOULA, LA, 704543328
- Phone
- (985) 467-1223
- Fax
- (985) 467-0979
Specialties & Taxonomies
Optometrist
Primary License: LA #1666-700AT
All Addresses
MAILING
PO BOX 2128
PONCHATOULA, LA, 704542128