Stephen H Creviston, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001837 Issued in WA

Practice address

601 S Pioneer Way
Suite D
Moses Lake, WA 98837-4801

Phone

(509) 765-2125

NPI assigned

Mar 7, 2007

Last updated

Nov 11, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Valley Eye and Vision Clinic , PLLC

  • Optometrist
  • East Wenatchee, WA
  • NPI 1215714852
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1245360072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PIONEER WAY",
            "address_2": "SUITE D",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374801",
            "telephone_number": "509-765-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PIONEER WAY",
            "address_2": "SUITE D",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374801",
            "telephone_number": "509-765-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREVISTON",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Michelle Crawford, MSW
• Cresap Orthotics & Prosthetics, Inc.
• Creviston and Pedersen LLC (Vision Clinic)
• Creviston and Pedersen LLC (Valley Eye Care)
• Daniel Edward Creviston, O.D.
• Lacey Marie Crittendon
• Laura Cromer, RN
• Amanda M Cross, LMT
• Teresa Louise Crow, LMP
• Hildai Cruz Aviles

• Optometrist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.