Kathleen L Craven

Primary specialty

OpticianTaxonomy code 156FX1800X

License

756 Issued in NC

Legal business name

KATHLEEN L CRAVEN

Doing business as

Randolph Opticians

Practice address

407 S Cox St
Asheboro, NC 27203-5716

Phone

(336) 625-4456

Fax

(336) 625-3933

NPI assigned

Feb 14, 2007

Reactivated

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Kathleen L CravenNPI 1609901677

Title

Owner

Phone

(336) 625-4456

Specialties & licenses 1

Addresses

Other names 1

• Randolph Opticians Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen L. Craven

  • Optician
  • Asheboro, NC
  • NPI 1609901677
  NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1609919547",
    "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": "27203",
            "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": {
        "organization_name": "KATHLEEN L CRAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-06-25",
        "deactivation_date": "2007-03-21",
        "reactivation_date": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-625-4456"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jakia Marshall Jones, LCAS, LCMHC-S, CCS
• Sarah T Jordan, MD
• Julio Lamboy Ruiz DDS PA
• Michael John Kania, DDS
• Karens Home Care
• Katie Breeze Heald PLLC
• Cora Paulette Kearley, APRN
• Amy Jean Kearns, PA-C
• Samuel Christian Keith, D.O.
• Mark Robert Keller, M.D.

• Optician in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Optician in North Carolina

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