Provider Demographics
NPI:1841780145
Name:CRAWFORD, MARLA MICHELLE (OD)
Entity Type:Individual
Prefix:DR
First Name:MARLA
Middle Name:MICHELLE
Last Name:CRAWFORD
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 1:925 BRIDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1705
Mailing Address - Country:US
Mailing Address - Phone:412-605-9660
Mailing Address - Fax:
Practice Address - Street 1:5418 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2222
Practice Address - Country:US
Practice Address - Phone:412-687-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist