Active NPI
Mark Baker Crafford, O.D.
- Optometrist
- Virginia Beach, VA
National Provider Identifier
1669597118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1382
- Practice address
- 2710 Virginia Beach Blvd
Virginia Beach, VA 23452-7615 - Phone
- (757) 390-2020
- Fax
- (757) 229-7964
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1382 | VA | Primary |
Addresses
Primary practice location
2710 Virginia Beach Blvd
Virginia Beach, VA 23452-7615
Mailing address
2710 Virginia Beach Blvd
Virginia Beach, VA 23452-7615
Phone (757) 390-2020
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1382 | VA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1669597118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527615",
"telephone_number": "757-390-2020",
"fax_number": "757-229-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527615",
"telephone_number": "757-390-2020",
"fax_number": "757-229-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFFORD",
"first_name": "MARK",
"middle_name": "BAKER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "1382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.