DR. KENNETH ROBERT CRAWLEY (NPI# 1164547048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164547048 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ROBERT CRAWLEY |
| Credential | OD |
| Practice Address |
3501 N Granville Ave Ste L4 Muncie Mall Muncie IN 47303-1254 |
| Practice Telephone | 7652865977 |
| Practice Fax Number | 7652865988 |
| Mailing Telephone | 7652865977 |
| Mailing Fax Number | 7652865988 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001737 | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS/BLUE SHIELD | 000000269589 | 01 |
| IN | RAI;ROAD MEDICARE | P00083065 | 01 |
| IN | BLUECROSS/BLUE SHIELD | 000000269582 | 01 |
| EYEMED | 919893 | 01 | |
| EYEMED | 918567 | 01 | |
| IN | RAILROAD MEDICARE | 990002951 | 01 |
| CLARITY | 43106 | 01 | |
| DAVIS | 10609 | 01 | |
| CLARITY | 217779 | 01 | |
| VISION BENEFITS OF AMERIC | 1737 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720144751 | Kenneth Collins Crawley | Dentist | 440 Broad Street, Columbia, MS 39429 | 2006-12-27 |
| Street Address |
3501 N GRANVILLE AVE STE L4 MUNCIE MALL |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1811243231 | Dr Christy A Osborne and Associates, PC | Optometrist | 424 W Jackson St, Muncie, IN 47305-1585 | 2012-08-03 |
| 1306070768 | City Optical Co Inc | Optometrist | 1511 W Mcgalliard Rd, Muncie, IN 47304-2204 | 2009-05-13 |
| 1508936725 | Kregg Koons O.d., Inc. | Optometrist | 1608 W. Mcgalliard Rd., Muncie, IN 47304 | 2006-11-08 |
| 1386757771 | Alan Lenig | Optometrist | 1608 West Mcgalliard Road, Muncie, IN 47304-2205 | 2006-08-17 |
| 1962515791 | Kregg C Koons | Optometrist | 3300 W Fox Ridge Ln, Muncie, IN 47304-5201 | 2006-08-16 |
| 1518935519 | Michael Cameron Ashman | Optometrist | 1501 E 29th St, Muncie, IN 47302-5548 | 2006-03-08 |
| 1760454847 | Wade A Horn | Optometrist | 3303 E Memorial Dr, Muncie, IN 47302-4857 | 2006-02-03 |
| 1598736704 | Lori S Johnston | Optometrist | 3300 W Purdue, Muncie, IN 47304 | 2006-01-27 |
| 1508848334 | Christy Anne Osborne | Optometrist | 424 W Jackson St., Muncie, IN 47305-1585 | 2005-11-17 |
| Find all providers in MUNCIE | ||||
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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.