Theodore G. Crook Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0413 Issued in SC

Legal business name

THEODORE G. CROOK INC.

Doing business as

Camden Eye Care Center

Practice address

408 Dekalb St
Suite C
Camden, SC 29020-4429

Phone

(803) 424-1142

NPI assigned

Nov 23, 2005

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore G Crook, O.D.

Title

President/Owner

Phone

(803) 424-1142

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Camden Eye Care Center Doing business as

Locations

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1255314274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 DEKALB ST",
            "address_2": "SUITE C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204429",
            "telephone_number": "803-424-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 DEKALB ST",
            "address_2": "SUITE C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204429",
            "telephone_number": "803-424-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE G. CROOK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "803-424-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "0413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO4136",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9937",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maialen E. Stroisch, MSN, RN
• Andrew Summers, MD
• Carly Swisher, M.S, LPC
• Lauren M Taylor, PA
• Tocquin Paxton Terrell, PTA
• Jillian M. Thomas
• Renee Bethea Thomas, MD
• Angela A. Thompson, LMSW
• Jamie B Thompson, CRNA
• Laura E Thompson, P.T.

• Optometrist in Camden, SC
• Providers in Camden, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.