Creviston and Pedersen LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CREVISTON AND PEDERSEN LLC

Practice address

224 Valley Rd N
Moses Lake, WA 98837-1582

Phone

(509) 766-1880

Fax

(509) 766-1577

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Sheppard

Title

Office Manager

Phone

(509) 765-2125

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley Eye Care Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1386762417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 VALLEY RD N",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371582",
            "telephone_number": "509-766-1880",
            "fax_number": "509-766-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 VALLEY RD N",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371582",
            "telephone_number": "509-766-1880",
            "fax_number": "509-766-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREVISTON AND PEDERSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-765-2125"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012722",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britney Leigh Cranston, IBCLC
• Mathew Crawford
• Rebecca Michelle Crawford, MSW
• Cresap Orthotics & Prosthetics, Inc.
• Creviston and Pedersen LLC
• Daniel Edward Creviston, O.D.
• Stephen H Creviston, O.D.
• Lacey Marie Crittendon
• Laura Cromer, RN
• Amanda M Cross, LMT

• Optometrist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.