Crystal Clear Image Optical Boutique - Optometrist in Frisco, TX

Crystal Clear Image Optical Boutique is a Optometrist based in Frisco, Texas. Crystal Clear Image Optical Boutique is licensed to practice in Texas (license number T5346) and their current practice location is 4300 Legacy Dr, Suite 105, Frisco, Texas. It can be reached at their office (for appointments etc.) via phone at (972) 334-9944.

NPI number for Crystal Clear Image Optical Boutique is 1154631299 and their current mailing address is 4300 Legacy Dr, Suite 105, Frisco, Texas. Crystal Clear Image Optical Boutique does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1154631299.

Contact Information

Crystal Clear Image Optical Boutique
4300 Legacy Dr, Suite 105,
Frisco, TX 75034-0813
(972) 334-9944
(972) 334-9011



Healthcare Provider's Profile

Full NameCrystal Clear Image Optical Boutique
TypeFacility
SpecialityOptometrist
Location4300 Legacy Dr, Frisco, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154631299
  • Provider Enumeration Date: 10/07/2010
  • Last Update Date: 10/07/2010

Medical Identifiers

Medical identifiers for Crystal Clear Image Optical Boutique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154631299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist T5346 (Texas)Primary
152WC0802XOptometrist - Corneal And Contact Management T5346 (Texas)Secondary
152WX0102XOptometrist - Occupational Vision T5346 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Clear Image Optical Boutique is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Clear Image Optical Boutique
4300 Legacy Dr, Suite 105,
Frisco, TX 75034-0813

Ph: (972) 334-9944
Crystal Clear Image Optical Boutique
4300 Legacy Dr, Suite 105,
Frisco, TX 75034-0813

Ph: (972) 334-9944

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