Crystal Vision Clinic PA

NPI #1720480007 in Crystal, Minnesota

Provider Information

NPI Number: 1720480007
Entity Type: Organization
Organization Name: Crystal Vision Clinic PA
Primary Specialty: Optometrist
Enumeration Date: Sep 18, 2014
Last Updated: May 23, 2023

Practice Location

Address: 5730 BOTTINEAU BLVD.
City: Crystal
State: Minnesota
ZIP Code: 55429-3104
Phone: (763) 537-3213

Authorized Official

Name: JOHN SCOTT ENDRES, OD
Title: OWNER
Phone: (763) 537-3213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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