Craig Pew O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

7713445-9934 Issued in UT

Legal business name

CRAIG PEW O.D., INC

Practice address

200 N Market Place Dr
Centerville, UT 84014-1752

Phone

(801) 295-7118

Fax

(801) 295-7123

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By 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

Craig PewNPI 1821393810

Title

Optometrist

Phone

(706) 575-8590

Specialties & licenses 1

Addresses

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.

• Craig A Pew, O.D.

  • Optometrist
  • Centerville, UT
  • NPI 1821393810
  Authorized official Same address or phone

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1497160667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 1250 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412438",
            "telephone_number": "706-575-8590",
            "fax_number": "801-295-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MARKET PLACE DR",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141752",
            "telephone_number": "801-295-7118",
            "fax_number": "801-295-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG PEW O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "PEW",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "706-575-8590"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7713445-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Centerville, UT
• Providers in Centerville, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.