NPIMap

Organization Active NPI

Dr. Brent T. Crandon & Dr. Elizabeth J. Crandon Optometrists PA

  • Optometrist
  • Lawrence, KS
National Provider Identifier
1013124007
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1297 Issued in KS
Legal business name
DR. BRENT T. CRANDON & DR. ELIZABETH J. CRANDON OPTOMETRISTS PA
Practice address
1019 Massachusetts St
Lawrence, KS 66044-2923
Phone
(785) 843-3844
Fax
(785) 331-2496
NPI assigned
May 17, 2007
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brent T Crandon, ODNPI 1790708733
Title
Owner
Phone
(785) 843-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1297 KS Primary

Addresses

Primary practice location

1019 Massachusetts St
Lawrence, KS 66044-2923

Mailing address

1019 Massachusetts St
Lawrence, KS 66044-2923
Phone (785) 843-3844

National Provider Directory

National Provider Directory

Locations

1019 Massachusetts St
Lawrence, KS 66044
Phone (785) 843-0507

1019 Massachusetts St
#B
Lawrence, KS 66044
Phone (785) 843-3844

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1013124007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442923",
            "telephone_number": "785-843-3844",
            "fax_number": "785-331-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442923",
            "telephone_number": "785-843-3844",
            "fax_number": "785-331-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRENT T. CRANDON & DR. ELIZABETH J. CRANDON OPTOMETRISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "CRANDON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-843-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.