MEDICARE: DR. CRYSTAL GAYLE GUELDNER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1666-700T	LA

General Provider Information

NPI Number	:	1700218054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRYSTAL GAYLE GUELDNER O.D.

Provider Business Mailing Address
First Line	:	PO BOX 2128
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-2128
Country	:	US
Telephone Number	:	361-649-9535
Fax Number	:

Provider Business Practice Location Address
First Line	:	139 W OAK ST
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-3328
Country	:	US
Telephone Number	:	985-467-1223
Fax Number	:	985-467-0979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	02/12/2020

Similar Medicare Providers

1063101244 — DR. NISHANT KUMAR ROUT D.P.M.
Practice Location Address:

165 W OAK ST
PONCHATOULA, LA
70454-3328

Practice Phone: 985-986-7900
Practice Fax: 985-386-7999

1609039593 — MICHAEL J. KOZEL, MD, A.P.M.C.
Practice Location Address:

165 W OAK ST
PONCHATOULA, LA
70454-3328

Practice Phone: 985-386-5943
Practice Fax: 985-386-8080

1811126170 — DR. DAVID PRESLEY ALLEN D.P.M
Practice Location Address:

165 W OAK ST
PONCHATOULA, LA
70454-3328

Practice Phone: 985-215-5618
Practice Fax: 985-732-0100

1790150225 — CRYSTAL CLEAR EYECARE, LLC
Practice Location Address:

139 W OAK ST
PONCHATOULA, LA
70454-3328

Practice Phone: 985-467-1223
Practice Fax: 985-467-0979

1194151183 — KATHERINE M CHAUVIN RN, RD, LDN
Practice Location Address:

39568 FLY CREEK RD
PONCHATOULA, LA
70454-6824

Practice Phone: 504-329-5964
Practice Fax:

1396678447 — ANGELICA LIRETTE DPT
Practice Location Address:

132 S 6TH ST
PONCHATOULA, LA
70454-3317

Practice Phone: 985-386-6884
Practice Fax: 985-386-6854

Directions to “ DR. CRYSTAL GAYLE GUELDNER O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.