NPIMap

Organization Active NPI

Julian Anthony Crowder, OD

  • Optometrist
  • Candler, NC
National Provider Identifier
1366612988
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
963 Issued in NC
Legal business name
JULIAN ANTHONY CROWDER, OD
Practice address
1431 Smokey Park Hwy
Candler, NC 28715-0399
Phone
(828) 665-1577
Fax
(828) 667-5061
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Julian Anthony Crowder, OD
Title
Sole Proprietor
Phone
(828) 665-1577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 963 NC Primary

Addresses

Primary practice location

1431 Smokey Park Hwy
Candler, NC 28715-0399

Mailing address

PO Box 399
Candler, NC 28715-0399
Phone (828) 665-1577

Other identifiers 3

IdentifierTypeStateIssuer
09197OtherNCBCBS OF NC
8909197MedicaidNC
41005094OtherNCMCR RAILROAD

National Provider Directory

National Provider Directory

Locations

1431 Smokey Park Hwy
Candler, NC 28715
Phone (828) 665-1577

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1366612988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287150399",
            "telephone_number": "828-665-1577",
            "fax_number": "828-667-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SMOKEY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287150399",
            "telephone_number": "828-665-1577",
            "fax_number": "828-667-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN ANTHONY CROWDER, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "828-665-1577",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "09197",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909197",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "41005094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.