Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Vision Clinic PA

Organization Optometrist · NPI 1720480007

Crystal Vision Clinic PA is an Optometrist in Crystal, Minnesota. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5730 Bottineau Blvd
Crystal, MN 55429-3104
Phone: (763) 537-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1720480007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Endres — Owner · (763) 537-3213
NPI enumeratedSeptember 18, 2014
Last updated in NPPESMay 23, 2023
Certification dateMay 8, 2023
Mailing address5730 Bottineau Blvd, Crystal, MN 55429-3181

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