John William Crotty in Auburn - Corneal And Contact Management

John William Crotty - NPI 1104810795

John William Crotty is a Corneal And Contact Management in Auburn, Nebraska. John William Crotty practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for John William Crotty is 1104810795. The last update date is 2009-12-03.

John William Crotty's current location address is 922 Alden Dr, Auburn, Nebraska. You can contact this provider via phone number 4022743218 and fax number 4022744538. The mailing address for John William Crotty is 922 Alden Dr, Auburn, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name John William Crotty
Address 922 Alden Dr, Auburn, Nebraska
Phone Number 4022743218
Fax Number 4022744538
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1104810795
Provider Enumeration Date 2005-09-09
Last Updated Date 2009-12-03

Provider Mailing Address Detail

Address 922 Alden Dr
City Auburn
State Nebraska (NE)
Post Code 683053021
Phone Number 4022743218
Fax Number 4022744538

Provider's Primary Taxonomy Detail

Speciality Corneal And Contact Management
Taxonomy 152Wc0802X
Licence No 815
Definition:
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
47-0610838 FEDERAL TAX I.D.
815 NE OPTOMETRY LICENSE
MC0048745 CONTROLLED SUBSTANCE REGI

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FAQs about John William Crotty

What is the unique identification code assigned to John William Crotty by the Centers for Medicare & Medicaid Services?

The John William Crotty has been issued the NPI (National Provider Identifier) 1104810795. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where John William Crotty is physically located?

The John William Crotty is situated at the following address: 922 Alden Dr, Auburn, NE 683053021.

What is John William Crotty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John William Crotty is Corneal And Contact Management, and the taxonomy code that categorizes this field of expertise is 152Wc0802X.

When did the John William Crotty receive its 1104810795?

The John William Crotty was issued its 1104810795 on 2005-09-09, which is the date when the organization was assigned this unique identifier.

When was the information regarding John William Crotty most recently updated?

The details pertaining to the John William Crotty, including its address, specialty, and other relevant information, were last refreshed on 2009-12-03.

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