Organization Active NPI

Earl Douglas Crew Jr OD

  • Optometrist
  • Thomasville, GA
National Provider Identifier
1154593614
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
901T Issued in GA
Legal business name
EARL DOUGLAS CREW JR OD
Practice address
15043 US Highway 19 South
Thomasville, GA 31792
Phone
(229) 226-8833
Fax
(229) 226-2020
NPI assigned
Mar 25, 2008
Organization subpart
Yes
Parent organization
EARL DOUGLAS CREW JR ODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Earl Douglas Crew Jr., OD
Title
Owner
Phone
(229) 226-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 901T GA Primary

Addresses

Primary practice location

15043 US Highway 19 South
Thomasville, GA 31792

Mailing address

15043 US Highway 19 South
Thomasville, GA 31792
Phone (229) 226-8833

Other names 1

  • For Your Eyes Only Doing business as

National Provider Directory

National Provider Directory
Part of
Earl Douglas Crew Jr OD

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1154593614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15043 US HIGHWAY 19 SOUTH",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-226-8833",
            "fax_number": "229-226-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15043 US HIGHWAY 19 SOUTH",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-226-8833",
            "fax_number": "229-226-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL DOUGLAS CREW JR OD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EARL DOUGLAS CREW JR OD",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "CREW",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-226-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "901T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Your Eyes Only",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.