Tony Martin Cranford, OD
Individual provider Active NPI Optometrist · Denton, NC
NPI 1487766697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487766697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1018 (NC)
- Practice address
- 208 South Main St
Denton, NC 27239-1106 - Phone
- (336) 859-4664
- Fax
- (336) 859-4664
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018 | NC | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1018 | NC | Yes |
Addresses
Primary practice location
208 South Main St
Denton, NC 27239-1106
Mailing address
PO Box 1106
Denton, NC 27239-1106
Phone (336) 859-4664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909193 | Medicaid | NC |
Other providers in Denton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.