Brian J Crain OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1213TX Issued in WA

Legal business name

BRIAN J CRAIN OD

Practice address

921 Harvey Rd Ste a
Auburn, WA 98002-4294

Phone

(253) 833-2767

Fax

(253) 939-2781

NPI assigned

Feb 5, 2008

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Crain, ODNPI 1962474718

Title

Owner

Phone

(253) 833-2767

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Brian J Crain, OD

  • Optometrist
  • Auburn, WA
  • NPI 1962474718
  Authorized official Same address or phone

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1760660476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-833-2767",
            "fax_number": "253-939-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-833-2767",
            "fax_number": "253-939-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J CRAIN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-833-2767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1213TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034908",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Brantley-Dalglish, CNM
• Donna Brazel, ARNP
• Brooke Alexis Breidel, LMP
• Ryan Breske, DNP, RN, PMHNP-BC
• Eric Maxwell Brewster, SUPT
• Gloria Brim
• Kathryn Anne Brisbane, RD
• Helen Brislin-Johnson
• Erika L Broaden
• Alex E Broady, CDPT

• Optometrist in Auburn, WA
• Providers in Auburn, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.