Active NPI
Jessica Louise Crail, LDO
- Optician
- Lakewood, WA
National Provider Identifier
1720827744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 61236619
- Practice address
- 7001 Bridgeport Way W
Lakewood, WA 98499-8099 - Phone
- (253) 512-0965
- Fax
- (253) 512-0967
- NPI assigned
- May 20, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 61236619 | WA | Primary |
Addresses
Primary practice location
7001 Bridgeport Way W
Lakewood, WA 98499-8099
Mailing address
2627 Champion CT SW
Olympia, WA 98512-9012
Phone (509) 630-4884
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61236619 | WA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1720827744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 CHAMPION CT SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985129012",
"telephone_number": "509-630-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 BRIDGEPORT WAY W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998099",
"telephone_number": "253-512-0965",
"fax_number": "253-512-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIL",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": "61236619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.