DR. CHARLES G CROSSLIN (NPI# 1124028493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124028493 |
| Entity Type | Individual |
| Full Name | DR. CHARLES G CROSSLIN |
| Credential | O.D. |
| Practice Address |
7345 Highway 62 W Gassville AR 72635 |
| Mailing Address |
Po Box 444 Mountain Home AR 72654-0444 |
| Practice Telephone | 8704353333 |
| Practice Fax Number | 8704719029 |
| Mailing Telephone | 8704244900 |
| Mailing Fax Number | 8704244979 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2326 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101232722 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2943 Highway 62 W, Mountain Home, AR 726536535 | 8704244900 | 8704244979 |
| Street Address |
7345 HIGHWAY 62 W |
| City | GASSVILLE |
| State | AR |
| Zip Code | 72635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780921106 | William Howse | Social Worker | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2013-01-04 |
| 1619230265 | Amber Grace Christian | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-06-19 |
| 1972866465 | Mollie Brooke Rowlett | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-06-19 |
| 1407118904 | Christy Ann Gross | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-06-11 |
| 1154681336 | Jennifer Lynn Wojcik | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-05-22 |
| 1861752040 | Larry Dean Twaddle | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-05-22 |
| 1740546522 | Alison Nichole Hudson | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-04-06 |
| 1447526041 | Micaela A Cully | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-03-28 |
| 1790059475 | Letitia Olson | Psychologist | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2012-02-28 |
| 1154619609 | Nathan Lueck | Case Manager/Care Coordinator | 7345 Highway 62 W, Gassville, AR 72635-8636 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285183087 | Almost Family Personal Care, LLC | Case Management | 6289 Hwy 62w, Gassville, AR 72635 | 2016-09-22 |
| 1750670303 | Ozark Mountain Alcohol Residential Treatment, Inc,. | Substance Abuse Rehabilitation Facility | 116 Snowball Dr, Gassville, AR 72635 | 2011-04-05 |
| 1669703187 | Ashley Nursing Center Inc | Skilled Nursing Facility | 114 Chester Ashley Dr, Crossett, AR 72635 | 2010-01-22 |
| 1538349535 | Amanda Leigh Keller | Case Manager/Care Coordinator | 7345 Highway 62 West, Gassville, AR 72635 | 2007-11-07 |
| 1992237093 | Lisa Otto | Case Manager/Care Coordinator | 23 Marler Ln, Gassville, AR 72635-8127 | 2017-03-29 |
| 1083152797 | Almost Family Personal Care, LLC | Home Health | 6289 Highway 62 W, Gassville, AR 72635-8207 | 2017-02-02 |
| 1992793194 | Gassville Care Center Inc | Skilled Nursing Facility | 203 Cotter Rd, Gassville, AR 72635-8529 | 2005-10-11 |
| 1528484177 | Gvnc, Inc. | Skilled Nursing Facility | 203 Cotter Rd, Gassville, AR 72635-8529 | 2014-03-06 |
| 1245441096 | Kathy Jo Gay | Physical Therapist | 203 Cotter Rd, Gassville Nursing and Rehab Center, Gassville, AR 72635-8529 | 2007-05-24 |
| 1710099700 | Ponders Gassville Pharmacy | Pharmacy | 7337 Highway 62 W, Gassville, AR 72635-8636 | 2006-08-31 |
| Find all providers in zip 72635 | ||||
| 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 |
|---|---|---|---|---|
| 1750595757 | Dr. Clifford M Turner II Od | Optometrist | 116 East Second St., Carlisle, AR 72024-0859 | 2007-05-09 |
| 1316166697 | Icem E Brewer | Optometrist | 4201 N Shiloh Dr Ste 1235, Fayetteville, AR 72703-5303 | 2007-04-24 |
| 1568597409 | Kerry Childers, O.d., P.a. | Optometrist | 618 Julia Ave E, Wynne, AR 72396-3504 | 2007-02-22 |
| 1598836066 | Rick D Ray | Optometrist | 2 Riviera Dr, Booneville, AR 72927-0295 | 2006-11-13 |
| 1780773481 | Chris Deitrick Od Pa | Optometrist | 202 Peabody St, Mountain View, AR 72560-1460 | 2006-10-12 |
| 1194817676 | Robert Frank Castiglione | Optometrist | 787 6th St, Little Rock Air Force Base, AR 72099-4947 | 2006-09-29 |
| 1114906310 | Kerry K Childers | Optometrist | 723 Falls Blvd S, Ste A, Wynne, AR 72396-3508 | 2006-01-16 |
| 1669470183 | Chris Deitrick | Optometrist | 202 Peabody, Mountain View, AR 72560 | 2005-07-08 |
| 1801100623 | Patrick Fowler O.d. P.a. | Optometrist | 5501 S Olive St, Pine Bluff, AR 71603-7607 | 2010-08-04 |
| 1669591129 | Richard Foster | Optometrist | 2000 John Harden Dr, Jacksonville, AR 72076-2730 | 2007-03-28 |
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| 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.