Organization Active NPI

Dr Edward E Crowe OD PC

  • Optometrist
  • South Boston, VA
National Provider Identifier
1235302605
Registry record updated Sep 7, 2010
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000490 Issued in VA
Legal business name
DR EDWARD E CROWE OD PC
Practice address
1328 Seymour Dr
South Boston, VA 24592-3914
Phone
(434) 575-7360
Fax
(434) 575-7618
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Mrs. Ann Chitwood Stoneman
Title
Office Manager
Phone
(434) 575-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000490 VA Primary

Addresses

Primary practice location

1328 Seymour Dr
South Boston, VA 24592-3914

Mailing address

PO Box 795
South Boston, VA 24592-0795
Phone (434) 575-7360

National Provider Directory

National Provider Directory

Locations

1328 Seymour Dr
South Boston, VA 24592
Phone (434) 575-7360

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1235302605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920795",
            "telephone_number": "434-575-7360",
            "fax_number": "434-575-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SEYMOUR DR",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923914",
            "telephone_number": "434-575-7360",
            "fax_number": "434-575-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDWARD E CROWE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "STONEMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CHITWOOD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-575-7360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.