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

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, OD

Title

Owner

Phone

(253) 833-2767

Specialties & licenses 1

Addresses

Other identifiers 1

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": "193400000X SINGLE SPECIALTY  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.