NPIMap

Organization Active NPI

Crum Optometric Group, Inc

  • Optometrist
  • Chino Hills, CA
National Provider Identifier
1831378843
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA9524T Issued in CA
Legal business name
CRUM OPTOMETRIC GROUP, INC
Practice address
2581 Chino Hills Pkwy
Suite C
Chino Hills, CA 91709-5117
Phone
(909) 393-8378
Fax
(909) 393-0228
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Jon M Crum, OD
Title
Optometrist
Phone
(909) 393-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA9524T CA Primary

Addresses

Primary practice location

2581 Chino Hills Pkwy
Suite C
Chino Hills, CA 91709-5117

Mailing address

2581 Chino Hills Pkwy
Suite C
Chino Hills, CA 91709-5117
Phone (909) 393-8378

Other identifiers 1

IdentifierTypeStateIssuer
SD0095240MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1831378843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 CHINO HILLS PKWY",
            "address_2": "SUITE C",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095117",
            "telephone_number": "909-393-8378",
            "fax_number": "909-393-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 CHINO HILLS PKWY",
            "address_2": "SUITE C",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095117",
            "telephone_number": "909-393-8378",
            "fax_number": "909-393-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUM OPTOMETRIC GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "909-393-8378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9524T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0095240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.