National Provider Identifier Database

EDGAR P CROCKETT, OD – NPI #1801955737
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

EDGAR P CROCKETT, OD
70 ANDOVER PARK W
TUKWILA, WA98188
Phone: 206-439-7588
Fax: 206-241-6857
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for EDGAR P CROCKETT

NPI Number 1801955737
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: OD00001214
  • WA Medicaid: 2021384
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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