Crockett Eye Care LLC
Organization Active NPI Optometrist · Calera, AL
NPI 1114164993 · NPPES record last updated Jan 15, 2009
Key facts
- NPI
- 1114164993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- S-B79-TA-791 (AL)
- Legal business name
- CROCKETT EYE CARE LLC
- Practice address
- 1008 Village TRL
Calera, AL 35040-5295 - Phone
- (334) 365-2020
- NPI assigned
- Jan 15, 2009
- Organization subpart
- No
Authorized official
- Name
- James E Crockett, OD
- Title
- Owner
- Phone
- (334) 365-2020
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | S-B79-TA-791 | AL | Yes |
Addresses
Primary practice location
1008 Village TRL
Calera, AL 35040-5295
Mailing address
PO Box 7756
Rocky Mount, NC 27804-0756
Phone (252) 985-1371
Other providers in Calera, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.