Gary Crowell OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1224T Issued in OR

Legal business name

GARY CROWELL OD PC

Practice address

1291 N Hwy 99 W
McMinnville, OR 97128

Phone

(503) 472-0644

Fax

(503) 472-0427

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Crowell, ODNPI 1194707315

Title

Ceo

Phone

(503) 472-0644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MCMINNVILLE VISION CLINIC Other name

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Gary Dean Crowell, OD

  • Optometrist
  • McMinnville, OR
  • NPI 1194707315
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720127798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 N HWY 99 W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-472-0644",
            "fax_number": "503-472-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 N HWY 99 W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-472-0644",
            "fax_number": "503-472-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CROWELL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-472-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1224T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178004",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCMINNVILLE VISION CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin Garcia, PSYD
• Michele Garcia
• Miguel Garcia
• Jessica Gardea
• Rodney R Garrison, PA-C
• Pablo Daniel Gaspar-Lopez
• Laura Gaudette
• Jon Gemeroy
• Anne Gendreau, PA
• Genoa Healthcare LLC

• Optometrist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.