Edgar Crockett Od Ps in Tukwila - Optometrist
Edgar Crockett Od Ps - NPI 1962561639
Edgar Crockett Od Ps is a Optometrist in Tukwila, Washington. Edgar Crockett Od Ps practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Edgar Crockett Od Ps is 1962561639. The last update date is 2008-06-16.
Edgar Crockett Od Ps's current location address is 70 Andover Park W, Tukwila, Washington. You can contact this provider via phone number 2064397588 and fax number 2062416857. The mailing address for Edgar Crockett Od Ps is 70 Andover Park W, Tukwila, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Edgar Crockett Od Ps |
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Address | 70 Andover Park W, Tukwila, Washington |
Phone Number | 2064397588 |
Fax Number | 2062416857 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Crockett P Edgar |
Credentials | OD |
Telephone Number | 2064397588 |
NPI Number Detail
NPI Number | 1962561639 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
Address | 70 Andover Park W |
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City | Tukwila |
State | Washington (WA) |
Post Code | 98188 |
Phone Number | 2064397588 |
Fax Number | 2062416857 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | OD00001214 |
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2021384 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edgar Crockett Od Ps by the Centers for Medicare & Medicaid Services (CMS)?
The Edgar Crockett Od Ps has been assigned the NPI (National Provider Identifier) 1962561639. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Edgar Crockett Od Ps's facilities are situated?
The facilities of Edgar Crockett Od Ps are physically located at the following address: 70 Andover Park W, Tukwila, WA, 98188.
What is Edgar Crockett Od Ps's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edgar Crockett Od Ps is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date was the 1962561639 assigned to Edgar Crockett Od Ps?
The Edgar Crockett Od Ps was issued its 1962561639 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Edgar Crockett Od Ps most recently updated?
The details pertaining to the Edgar Crockett Od Ps, including its address, specialty, and other relevant information, were last refreshed on 2008-06-16.
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