Neodoc Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP3105 Issued in FL

Legal business name

NEODOC INC

Doing business as

Dr Eric M Crittenden

Practice address

2523 Lee Blvd
Lehigh Acres, FL 33971-1413

Phone

(239) 368-0979

Fax

(239) 368-2591

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Matthew Crittenden, ODNPI 1790096550

Title

President

Phone

(239) 285-6519

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Eric M Crittenden Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Matthew Crittenden, O.D.

  • Optometrist
  • Naples, FL
  • NPI 1790096550
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023177953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 SUPREME CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-285-6519",
            "fax_number": "239-368-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711413",
            "telephone_number": "239-368-0979",
            "fax_number": "239-368-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEODOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-285-6519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "K5596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Eric M Crittenden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shavon Calin Nathan
• Graciela Navarro
• Michelle Olea Navarro
• Maria Eugenia Navas, RBT
• Laura Negrin Bosch, RBT
• New Phases GC Companion Services LLC
• New Support Coordination Services, LLC
• Keshaundriel Lennise Newbold
• Benney Huy Nguyen
• Linda T Nguyen

• Optometrist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.