Individual provider Active NPI

Stanley Lloyd Crews, M.D.

  • Ophthalmology Physician
  • Vancouver, WA
National Provider Identifier
1760674592
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00024816 Issued in WA
Practice address
12306 SE Mill Plain Blvd
Vancouver, WA 98684-6061
Phone
(360) 896-8482
Fax
(360) 896-6456
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00024816 WA Primary
Ophthalmology Physician 207W00000X MD16861 OR

Addresses

Primary practice location

12306 SE Mill Plain Blvd
Vancouver, WA 98684-6061

Mailing address

12306 SE Mill Plain Blvd
Vancouver, WA 98684-6061
Phone (360) 896-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041222000624 WA Practitioner - Ophthalmology 2567420524 Reassigns benefits to 1 organization
I20041229000201 OR Practitioner - Ophthalmology 2567420524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12306 SE Mill Plain Blvd
Suite 100
Vancouver, WA 98684-6024
Phone (360) 896-8482

9200 SE 91St Ave
Suite 100
Portland, OR 97086-3756
Phone (360) 896-8482

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16861ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eyecare PC CurrentSince Jan 25, 1993 Accepting new patients
CVHH, Inc PastSince Jun 21, 2020 Accepting new patients

Locations

12306 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 604-5982

12306 SE Mill Plain Blvd
#1
Vancouver, WA 98684
Phone (360) 896-8482

12306 SE Mill Plain Blvd
Ste 100
Vancouver, WA 98684
Phone (360) 896-8482

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1760674592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846061",
            "telephone_number": "360-896-8482",
            "fax_number": "360-896-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846061",
            "telephone_number": "360-896-8482",
            "fax_number": "360-896-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "STANLEY",
        "middle_name": "LLOYD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00024816",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD16861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.