Earl Douglas Crew Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000901 Issued in GA

Practice address

15196 US Highway 19 S
Thomasville, GA 31757-4820

Phone

(229) 228-4770

Fax

(229) 225-9060

NPI assigned

Jan 2, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346307030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15196 US HIGHWAY 19 S",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317574820",
            "telephone_number": "229-228-4770",
            "fax_number": "229-225-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15043 US Highwy 19 South",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "31792",
            "country_code": "US",
            "telephone_number": "229-226-8833",
            "fax_number": "229-226-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15196 US Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317574820",
            "country_code": "US",
            "telephone_number": "229-228-4770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREW",
        "first_name": "EARL",
        "middle_name": "DOUGLAS",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00207303B3",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID",
            "identifier": "00207303A3",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100013",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Holly M Crowley, MD
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• Daniel Crutchfield Jr., PH.D.
• Vickie R Cumbie, LCSW

• Optometrist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.