NPIMap

Organization Active NPI

Crain Eye Clinic

  • Optometrist
  • Auburn, WA
National Provider Identifier
1275957284
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CRAIN EYE CLINIC
Practice address
921 Harvey Rd Ste a
Auburn, WA 98002-4294
Phone
(253) 833-2767
Fax
(253) 939-2781
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Aaron J. Crain, O.D.NPI 1831424928
Title
Optometrist
Phone
(253) 833-2767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

921 Harvey Rd Ste a
Auburn, WA 98002-4294

Mailing address

921 Harvey Rd Ste a
Auburn, WA 98002-4294
Phone (253) 833-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605002150 WA Part B Supplier - Clinic/Group Practice 4688898976 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, WA; Friday Harbor, WA

National Provider Directory

National Provider Directory
Tax ID family
Crain Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1275957284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-833-2767",
            "fax_number": "253-939-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-833-2767",
            "fax_number": "253-939-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "253-833-2767",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.