Crown Eye Care Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5938TG Issued in TX

Legal business name

CROWN EYE CARE CENTER, P.C.

Practice address

1618 W Church St
Livingston, TX 77351-9043

Phone

(936) 327-6379

Fax

(936) 327-3599

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Michele Davis, O.D.NPI 1336367937

Title

President

Phone

(832) 266-9346

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Stephanie Michele Davis, O.D.

  • Optometrist
  • Livingston, TX
  • NPI 1336367937
  NPD (past) Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1649450149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510035",
            "telephone_number": "936-327-6379",
            "fax_number": "936-326-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519043",
            "telephone_number": "936-327-6379",
            "fax_number": "936-327-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN EYE CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-266-9346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5938TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0096QT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crow Center for Autism, LLC
• Crow Kids, LLC
• Amanda Rachelle Crow, COTA
• Amy B Crow, SLP
• Gregory Crow, MS, SLP INTERN
• Muge A Cummings, DO
• CVS Pharmacy Inc (CVS Pharmacy 07229)
• Jaclynn Denice Darnell, PTA
• Shelley Leann Davidson, M.S. CCC/SLP
• Stephanie Michele Davis, O.D.

• Optometrist in Livingston, TX
• Providers in Livingston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.