Provider Demographics
NPI:1801861919
Name:WRIGHT-CROWE, GREGORY E (OD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:E
Last Name:WRIGHT-CROWE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1508 EVA ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-3011
Mailing Address - Country:US
Mailing Address - Phone:512-836-9166
Mailing Address - Fax:512-458-5403
Practice Address - Street 1:5555 N LAMAR BLVD
Practice Address - Street 2:E-115 FACING GUADALUPE ST
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1073
Practice Address - Country:US
Practice Address - Phone:512-836-9166
Practice Address - Fax:512-458-5403
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04901TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist