John V Crowder Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00C336820 Issued in CA

Practice address

160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160

Phone

(831) 728-2020

Fax

(831) 728-4739

NPI assigned

Oct 3, 2006

Last updated

Jul 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Eye Physicians, a Medical Corporation

  • Ophthalmology Physician
  • Cupertino, CA
  • NPI 1487601522
  Medicare reassignment NPD
• John V Crowder Jr MD Inc

  • Ophthalmology Physician
  • Freedom, CA
  • NPI 1841469798
  Authorized official Same address or phone
• Spectrum Eye Physicians, a Medical Corporation

  dba Spectrum Eye Physicians

  • Eyewear Supplier
  • San Jose, CA
  • NPI 1891046298

  Ophthalmology

  NPD
• John V Crowder Jr M.D.

  • Ophthalmology Physician
  • Hollister, CA
  • NPI 1609203801
  NPD (past)
• John V. Crowder Jr M.D. Inc.

  • Ophthalmology Physician
  • Freedom, CA
  • NPI 1033342829
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1215021480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GREEN VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193160",
            "telephone_number": "831-728-2020",
            "fax_number": "831-728-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREEN VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193160",
            "telephone_number": "831-728-2020",
            "fax_number": "831-728-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "JOHN",
        "middle_name": "V",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00C336820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0074000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyne & Hsu Medical Group Inc (Pediatric Medical Group of Watsonville)
• Patrick Stephen Clyne, MD
• Coastal Eye Associates, a Medical Corporation
• Conrad Hamako, M.D. Inc.
• Albert James Crevello Jr., MD
• David a South MD & Kim M Albridge MD a Medical Corporation
• Deepak K Sachdev DDS Inc.
• Georgia Nicole Difiore, PHARM.D.
• Digestive Care, LLC
• Ai-Huong DO, PHARM D

• Ophthalmology Physician in Freedom, CA
• Providers in Freedom, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.