Brian J Crain, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1213TX Issued in WA

Practice address

921 Harvey Rd
Ste a
Auburn, WA 98002-4294

Phone

(253) 833-2767

Fax

(253) 939-2781

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1962474718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD",
            "address_2": "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",
            "address_2": "STE A",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-833-2767",
            "fax_number": "253-939-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1213TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034908",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "410008354",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard James Crabb, LMHC
• Amanda Walton Craig, RC
• Travis Craig
• Crain Eye Clinic
• Aaron Crain
• Marie Crawford, AAC
• Rileigh Crawford
• Allyson Crickenberger
• Keith Jensen Criddle, M.D.
• Rhea Z Crisostomo, MD

• 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 Oct 21, 2010; 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.