Provider Demographics
NPI:1336459668
Name:CRAWFORD EYE CARE
Entity Type:Organization
Organization Name:CRAWFORD EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:601-416-8831
Mailing Address - Street 1:301 NORTHLAKE AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-1718
Mailing Address - Country:US
Mailing Address - Phone:601-707-5255
Mailing Address - Fax:
Practice Address - Street 1:301 NORTHLAKE AVE
Practice Address - Street 2:STE 101
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-1718
Practice Address - Country:US
Practice Address - Phone:601-707-5255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty