THOMAS GEORGE CROFFEAD


Address: 3531 Mary Ader Ave, Suite B, Charleston, SC 29414-5896
Phone: 8435772047

THOMAS GEORGE CROFFEAD (NPI# 1417934951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417934951
Entity Type Individual
Full Name THOMAS GEORGE CROFFEAD
Credential O.D.
Practice Address 3531 Mary Ader Ave
Suite B
Charleston
SC 29414-5896
Practice Telephone 8435772047
Practice Fax Number 8435770640
Mailing Telephone 8435772047
Mailing Fax Number 8435770640
Enumeration Date 2005-12-27
Last Update Date 2008-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 515 SC Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC RAILROAD MEDICARE ID 406580115 01
SC MEDICAID GROUP NUMBER DA9789 01
SC D05153 05

Office Location

Street Address 3531 MARY ADER AVE
SUITE B
City CHARLESTON
State SC
Zip Code 29414-5896

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982842308 Eye Care Specialties Group - West Ashley Optometrist 3531 Mary Ader Ave, Suite B, Charleston, SC 29414-5896 2009-01-22
1255533709 Charlestoneye Pa Optometrist 3531 Mary Ader Ave, Suite B, Charleston, SC 29414-5896 2007-06-05
1689728123 Charlestowne Internal Medicine Specialist 3531 Mary Ader Ave, Building A, Charleston, SC 29414-5896 2007-01-22
1285794156 Patrick W Smith Optometrist 3531 Mary Ader Ave, Suite B, Charleston, SC 29414-5896 2006-12-11
1013023340 Kenneth A Sharpe Ophthalmology 3531 Mary Ader Ave, Charleston, SC 29414-5896 2006-08-21
1215042569 Eric Jablon Ophthalmology 3531 Mary Ader Ave, Bldg. D, Charleston, SC 29414-5896 2006-08-20
1952416257 John Kerrison Ophthalmology 3531 Mary Ader Ave, Bldg D, Charleston, SC 29414-5896 2006-08-20
1982719290 Daniel Alfaro IIi Ophthalmology 3531 Mary Ader Ave, Bldg D, Charleston, SC 29414-5896 2006-08-20
1376509315 Paul Mcneely Deaton Jr. Internal Medicine 3531 Mary Ader Ave, Bldg. A, Charleston, SC 29414-5896 2006-04-26
1225094600 Charleston Neurosciences Institute Ophthalmology 3531 Mary Ader Ave, Bldg D, Charleston, SC 29414-5896 2006-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
Find all providers in zip 29414

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083248785 National Vision Inc Optometrist 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 2020-03-03
1679046569 Eye Care Associates of Sc Optometrist 8484 Dorchester Rd Ste B3, Charleston, SC 29420-7319 2019-01-03
1740612506 Megan Marie Sexton Optometrist 1470 Tobias Gadson Blvd Ste 115, Charleston, SC 29407-4835 2013-08-05
1760722482 Lowcountry Vision Care, LLC Optometrist 91 Broad St, Charleston, SC 29401-2272 2013-02-16
1922271774 See Inc Optometrist 355 King St, Charleston, SC 29401-1438 2008-04-11
1841481769 Steven James Hosman Optometrist 1301 Lee St East, Charleston, WV 25301 2007-08-06
1346442571 Donald Paul Cohen Optometrist 924 Quarrier St, Charleston, WV 25301-2619 2007-06-01
1053537068 Coastal Eye Care of Charleston, LLC Optometrist 1606 Harbor View Rd, Charleston, SC 29412-3216 2007-04-18
1760500524 Coastal Eye Care of Daniel Island Optometrist 225 Seven Farms Drive, 105, Charleston, SC 29492 2007-03-27
1790809226 Gregory S Moore Od PC Optometrist 2335 Chesterfield Ave Ste 303, Charleston, WV 25304-1066 2007-03-19
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29414

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Dataset Information

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.

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