Jay Crump OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2343 Issued in FL

Legal business name

JAY CRUMP OD PA

Doing business as

Florida Eye Care Clinic

Practice address

5306 Cortez Rd W
Ste 3
Bradenton, FL 34210-2821

Phone

(941) 794-1333

Fax

(941) 794-5640

NPI assigned

Aug 24, 2006

Last updated

Oct 22, 2015By 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. Parnell Jay Crump Jr., ODNPI 1275732836

Title

President

Phone

(941) 794-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FLORIDA EYE CARE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parnell J Crump Jr., OD

  • Optometrist
  • Bradenton, FL
  • NPI 1275732836
  Medicare reassignment NPD Authorized official
• Robert J Parnes, OD

  • Optometrist
  • Bradenton, FL
  • NPI 1568454825
  NPD (past)
• John Edward Richardson, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1174795801
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1255448536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 CORTEZ RD W",
            "address_2": "STE 3",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102821",
            "telephone_number": "941-794-1333",
            "fax_number": "941-794-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 CORTEZ RD W",
            "address_2": "STE 3",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102821",
            "telephone_number": "941-794-1333",
            "fax_number": "941-794-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY CRUMP OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "PARNELL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-794-1333",
        "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": "FL",
            "license": "OPC 2343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084786100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA EYE CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Jaro Jasa, M.D.
• Kimberly D Jasch, ARNP
• Jaslinks Companion Care Inc
• Jack Charles Jawitz, MD
• Jennys Jay Costa
• Jay R. Froug, D.M.D., P.a. D/B/a Pinebrook Dental Center
• Kasthuri E Jayaraj, M.D.
• Mary Jazzar, RDH
• Jduboisdnp LLC
• Sheila Marie Jean Huntley, APRN, FNP-C

• Optometrist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.