Provider Demographics
NPI:1376761148
Name:CROZIER, GEORGIA (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGIA
Middle Name:
Last Name:CROZIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W SPROUL ROAD
Mailing Address - Street 2:HEALTHPLEX PAVILION II - SUITE 125
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-544-0500
Mailing Address - Fax:610-690-1659
Practice Address - Street 1:100 W SPROUL ROAD
Practice Address - Street 2:SUITE 125
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064
Practice Address - Country:US
Practice Address - Phone:610-544-0500
Practice Address - Fax:610-690-1659
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002719152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOET008949OtherMEDICAL LICENSE