Organization Active NPI

Debon Crews, Optometric Corporation

  • Optometrist
  • Ventura, CA
National Provider Identifier
1033846837
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DEBON CREWS, OPTOMETRIC CORPORATION
Practice address
10225 Telephone Rd Ste E
Ventura, CA 93004-2825
Phone
(805) 647-4950
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Debon Crews, ODNPI 1073864385
Title
Owner
Phone
(619) 302-3412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10225 Telephone Rd Ste E
Ventura, CA 93004-2825

Mailing address

580 Eva St
Ventura, CA 93003-4718
Phone (619) 302-3412

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dcrewsod@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822003118 CA Part B Supplier - Clinic/Group Practice 8628451754 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

10225 Telephone Rd
Ste E
Ventura, CA 93004
Phone (619) 302-3412

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1033846837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 EVA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034718",
            "telephone_number": "619-302-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 TELEPHONE RD STE E",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042825",
            "telephone_number": "805-647-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBON CREWS, OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "DEBON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-302-3412",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dcrewsod@gmail.com",
            "affiliation": "N",
            "address_1": "10225 Telephone Rd Ste E",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930042825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.