NPIMap

Organization Active NPI

Earl R Crouch Jr MD Facs PC

Doing business as Virginia Pediatric Eye Center

  • Ophthalmology Physician
  • Virginia Beach, VA
National Provider Identifier
1346392248
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EARL R CROUCH JR MD FACS PC
Doing business as
Virginia Pediatric Eye Center
Practice address
4665 South Blvd
Virginia Beach, VA 23452-1055
Phone
(757) 461-0050
Fax
(757) 461-4538
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Earl R Crouch Jr., MDNPI 1376632075
Title
President
Phone
(757) 461-0050

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4665 South Blvd
Virginia Beach, VA 23452-1055

Mailing address

4665 South Blvd
Virginia Beach, VA 23452-1055
Phone (757) 461-0050

Other names 1

  • Virginia Pediatric Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000727 VA Part B Supplier - Clinic/Group Practice 9032180609 Receives reassigned benefits from 5 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1564 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 420-8002

2101 Executive Dr
Ste 630
Hampton, VA 23666

880 Kempsville Rd
Ste 2500
Norfolk, VA 23502
Phone (757) 461-0050

4665 South Blvd
Virginia Beach, VA 23452
Phone (757) 461-0050

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1346392248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SOUTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521055",
            "telephone_number": "757-461-0050",
            "fax_number": "757-461-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SOUTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521055",
            "telephone_number": "757-461-0050",
            "fax_number": "757-461-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL R CROUCH JR MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-461-0050",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Pediatric Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.