Family Vision Associates, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TO3244 Issued in MO

Legal business name

FAMILY VISION ASSOCIATES, LLC

Practice address

400 S Truman Blvd
Crystal City, MO 63019-1726

Phone

(636) 933-6020

Fax

(636) 933-6420

NPI assigned

Nov 24, 2008

Last updated

Oct 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roberta J Crawford, ODNPI 1871689349

Title

Manager

Phone

(636) 933-6020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Roberta J Crawford, O.D.

  • Optometrist
  • Crystal City, MO
  • NPI 1871689349
  NPD (past) Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1083869614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S TRUMAN BLVD",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191726",
            "telephone_number": "636-933-6020",
            "fax_number": "636-933-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S TRUMAN BLVD",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191726",
            "telephone_number": "636-933-6020",
            "fax_number": "636-933-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-933-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "TO3244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Brown Edwards, MD
• Kaitlyn Rae Ellis, PHARMD
• Robert Evens, MD
• Excel Care OB GYN Inc
• Family and Community Therapy Services, LLC
• Dale Allen French, LPC
• Charmin L Gans, D.C.
• Ryan Gans, D.C.
• Jamie Lynne Glore, PHARMD, BCPS
• Debra K Gremminger, FNP

• Eyewear Supplier in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.