John V Crowder Jr MD Inc

Organization Active NPI Ophthalmology Physician · Freedom, CA

NPI 1841469798 · NPPES record last updated Jul 15, 2008

Key facts

NPI
1841469798
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
License
OOC336820 (CA)
Legal business name
JOHN V CROWDER JR MD INC
Practice address
160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone
(831) 728-2020
Fax
(831) 728-4739
NPI assigned
Feb 25, 2008
Organization subpart
No

Authorized official

Name
John V Crowder Jr., MD
Title
President
Phone
(831) 728-2020

National Provider Directory

Locations

930 Sunnyslope Rd
Ste Ez
Hollister, CA 95023
Phone (831) 637-0705

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207W00000X OOC336820 CA Yes

Addresses

Primary practice location

160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160

Mailing address

160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone (831) 728-2020

Other identifiers

IdentifierTypeStateIssuer
GR0074000MedicaidCA

Other providers in Freedom, CA

All providers in Freedom, CA · Ophthalmology Physician in California

Sources for this page

Verify at the official NPI Registry.