Individual provider Active NPI

Kathleen L. Craven

  • Optician
  • Asheboro, NC
National Provider Identifier
1609901677
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
756 Issued in NC
Practice address
407 S Cox St
Asheboro, NC 27203-5716
Phone
(336) 625-4456
Fax
(336) 625-3933
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 756 NC Primary

Addresses

Primary practice location

407 S Cox St
Asheboro, NC 27203-5716

Mailing address

407 S Cox St
Asheboro, NC 27203-5716
Phone (336) 625-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
756NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen L Craven Optician Current Accepting new patients

Locations

407 S Cox St
Asheboro, NC 27203
Phone (336) 625-4456

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1609901677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035716",
            "telephone_number": "336-625-4456",
            "fax_number": "336-625-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035716",
            "telephone_number": "336-625-4456",
            "fax_number": "336-625-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "KATHLEEN",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.