EARL RUSSELL CROUCH III (NPI# 1376632075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376632075 |
| Entity Type | Individual |
| Full Name | EARL RUSSELL CROUCH III |
| Credential | MD |
| Practice Address |
4665 South Blvd Virginia Beach VA 23452-1055 |
| Practice Telephone | 7574610050 |
| Practice Fax Number | 7574614538 |
| Mailing Telephone | 7574610050 |
| Mailing Fax Number | 7574614538 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101236715 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010079543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033208830 | Earl Russell Crouch Jr. | Ophthalmology | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2006-10-12 |
| Street Address |
4665 SOUTH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033208830 | Earl Russell Crouch Jr. | Ophthalmology | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2006-10-12 |
| 1154980209 | Adrian Kun | Optometrist | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2019-06-12 |
| 1659720589 | Laura Bagdonaite Bejarano | Ophthalmology | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2016-06-10 |
| 1699968966 | Stacy Martinson | Optometrist | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2007-08-21 |
| 1346392248 | Earl R Crouch Jr Md Facs PC | Ophthalmology | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679743645 | American Association of Professional Eye Care Specialists Aapecs P C | Ophthalmology | 279 Independence Blvd, Virginia Beach, VA 23462-2903 | 2008-03-06 |
| 1033208830 | Earl Russell Crouch Jr. | Ophthalmology | 4665 South Blvd, Virginia Beach, VA 23452-1055 | 2006-10-12 |
| 1437260809 | Waller L Taylor Jr. | Ophthalmology | 1821 Old Donation Parkway, Suite 1, Virginia Beach, VA 23454-3033 | 2006-08-31 |
| 1053370007 | Douglas Mercer Rampona | Ophthalmology | 848 First Colonial Rd, Virginia Beach, VA 23451-6126 | 2006-03-20 |
| 1134104045 | Teresa A Shenouda | Ophthalmology | 828 Healthy Way Ste 200, Virginia Beach, VA 23462-7961 | 2005-12-13 |
| 1669456166 | Marcia Denise Carney | Ophthalmology | 4433 Corporation Ln, Corporation Iv Suite 195, Virginia Beach, VA 23462-3351 | 2005-11-30 |
| 1922097179 | Dietrich Albert Fellner | Ophthalmology | 813 Independence Blvd, Virginia Beach, VA 23455-6004 | 2005-10-20 |
| 1902807449 | Aris Philip Delianides | Ophthalmology | 1012 First Colonial Rd, Virginia Beach, VA 23454-3072 | 2005-08-09 |
| 1205834975 | Reynaldo Molina Francisco | Ophthalmology | 5265 Providence Rd, Ste 505, Virginia Beach, VA 23464-4206 | 2005-07-07 |
| 1093189912 | Aapecs Services, LLC | Ophthalmology | 279 Independence Blvd, Virginia Beach, VA 23462-2903 | 2015-11-16 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.