Krystal Vision and Sunwear INC

NPI #1568596054 in Logan, Utah

Provider Information

NPI Number: 1568596054
Entity Type: Organization
Organization Name: Krystal Vision and Sunwear INC
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Mar 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 550 E 1400 N
Address 2: SUITE P
City: Logan
State: Utah
ZIP Code: 84341-2406
Phone: (435) 787-2593

Authorized Official

Name: MRS. MICHELE J JOHNSON
Title: OWNER OPTICIAN
Phone: (435) 787-2593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X	Primary

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