DR. JOHN WILLIAM CROTTY (NPI# 1104810795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104810795 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM CROTTY |
| Credential | O.D. |
| Practice Address |
922 Alden Dr Auburn NE 68305-3021 |
| Practice Telephone | 4022743218 |
| Practice Fax Number | 4022744538 |
| Mailing Telephone | 4022743218 |
| Mailing Fax Number | 4022744538 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2009-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
815 | NE | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
815 | NE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | OPTOMETRY LICENSE | 815 | 01 |
| FEDERAL TAX I.D. | 47-0610838 | 01 | |
| CONTROLLED SUBSTANCE REGI | MC0048745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639495856 | John Crotty | Counselor | 2 Waters Park Dr Ste 200, San Mateo, CA 94403-1178 | 2010-04-13 |
| Street Address |
922 ALDEN DR |
| City | AUBURN |
| State | NE |
| Zip Code | 68305-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558703223 | Russell James Crotty | Optometrist | 922 Alden Dr, Auburn, NE 68305-3021 | 2013-07-23 |
| 1316088081 | Drs Crotty & Crotty PC | Optometrist | 922 Alden Dr, Auburn, NE 68305-3021 | 2007-02-08 |
| 1467448795 | Darren J Wright | Optometrist | 922 Alden Dr, Auburn, NE 68305-3021 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124190244 | Maureen Kay Schultz | Counselor | 820 Central Avenue, Suite 4, Blue Valley Behavioral Health, Auburn, NE 68305 | 2006-11-14 |
| 1770654436 | Pamela Sue Bennett | Counselor | 1121 15th St, Auburn, NE 68305 | 2006-11-13 |
| 1053325860 | David Patrick Breuer | Chiropractor | 909 13th Street, Auburn, NE 68305 | 2006-07-28 |
| 1417311457 | Andrew Ensz | Family Medicine | 2115 14th St Ste 100, Auburn, NE 68305 | 2016-04-06 |
| 1346610128 | Gail Palmer | Speech-Language Pathologist | 919 16th St, Auburn, NE 68305 | 2015-10-06 |
| 1033251939 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 418 Q St, Auburn, NE 68305-1040 | 2007-02-14 |
| 1982787164 | Travis Gene Allgood | Chiropractor | 1208 Central Ave, Auburn, NE 68305-1526 | 2006-10-23 |
| 1023205036 | Allgood Family Chiropractic, PC | Chiropractor | 1208 Central Ave, Auburn, NE 68305-1526 | 2007-10-03 |
| 1801978697 | Allison Pharmacy | Pharmacy | 1118 J St, Auburn, NE 68305-1531 | 2006-10-20 |
| 1710132311 | Nemaha County Hospital | General Acute Care Hospital | 2022 13th St, Auburn, NE 68305-1701 | 2008-11-24 |
| Find all providers in zip 68305 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174782973 | Valley Eye Associates, LLC | Optometrist | 5116 Heath Rd, Auburn, AL 36830-4201 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727821 | J and A Walter LLC | Optometrist | 9979 South 168th Ave., Omaha, NE 68136 | 2017-08-23 |
| 1861589780 | Omaha Eyecare | Optometrist | 2730 S 114th St, Omaha, NE 68144-4712 | 2006-10-10 |
| 1881780294 | Donald C Scott | Optometrist | 625 N 98th St, Omaha, NE 68114-2342 | 2006-10-04 |
| 1578567558 | Steven J Lehr | Optometrist | 1119 Main Ave, Crete, NE 68333-2259 | 2005-06-08 |
| 1750982609 | Strasburg Vision Care LLC | Optometrist | 7474 Towne Center Pkwy, Papillion, NE 68046-4805 | 2020-11-06 |
| 1770740532 | Erik Zingler | Optometrist | 3902 Leavenworth St, Truhlsen Eye Institute, Omaha, NE 68105-1119 | 2008-05-20 |
| 1073739470 | Sidney Vision Clinic LLC | Optometrist | 900 Pine St, Sidney, NE 69162-2241 | 2007-04-17 |
| 1649310350 | Wise Eyecare LLC | Optometrist | 1501 Pine Lake Rd, Suite 1, Lincoln, NE 68512-3692 | 2007-02-08 |
Please comment or provide details below to improve the information on DR. JOHN WILLIAM CROTTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.