Crandall Eye Physicians and Surgeons LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

067898 Issued in GA

Legal business name

CRANDALL EYE PHYSICIANS AND SURGEONS LLC

Practice address

136 W. Cherry St.
Jesup, GA 31545

Phone

(912) 559-2467

Fax

(912) 559-2473

NPI assigned

May 21, 2012

Last updated

Nov 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Jane Crandall, MDNPI 1023266442

Title

Owner and Operator

Phone

(912) 559-2467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: ecrandall@ceps.intellechartdirect.net

Practitioners 1

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.

• Elizabeth Jane Crandall, MD

  • Ophthalmology Physician
  • Jesup, GA
  • NPI 1023266442
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1427318617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W. CHERRY ST.",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-559-2467",
            "fax_number": "912-559-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W. CHERRY ST.",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-559-2467",
            "fax_number": "912-559-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDALL EYE PHYSICIANS AND SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "912-559-2467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "067898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Frederic Corey, PH.D.
• Porche Lashoade Corley, LCSW
• Costrini & Meadows, PC
• Wilma R Cote, FNP-BC
• Ralph Milton Covington
• Elizabeth Jane Crandall, MD
• Lana Michelle Crews, RBT
• Cuyler Cribbs
• Cynthia J Westberry MD PC
• Elisha Marchette Dansby, ARNP

• Ophthalmology Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.