CRAIG FELLERS OD INC (NPI# 1427446749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427446749 |
| Entity Type | Organization |
| Organization Name | CRAIG FELLERS OD INC |
| Other Organization Name | MIDTOWN OPTOMETRY |
| Practice Address |
550 Water St Ste J5 Santa Cruz CA 95060-4135 |
| Practice Telephone | 8314267172 |
| Mailing Telephone | 8314267172 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | DR. CRAIG FELLERS (PRESIDENT) |
| Authorized Official Telephone | 8314267172 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT14458TLG | CA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT14458TLG | CA | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
OPT14458TLG | CA | Eye and Vision Services Providers |
| Y | 152WX0102X |
Optometrist Specialization: Occupational Vision |
OPT14458TLG | CA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Midtown Optometry | Doing Business As Name - Organization |
| Street Address |
550 WATER ST STE J5 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215142997 | Richard Conrad David | Optometrist | 550 Water St Ste J5, Santa Cruz, CA 95060-4135 | 2007-05-14 |
| 1629224605 | Ayesha Priti Burns | Optometrist | 550 Water St Ste J5, Santa Cruz, CA 95060-4135 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 152WX0102X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Occupational Vision |
| Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851442164 | Becky T Ong | Optometrist | 5707 Christie Ave, Powell Street Plaza, Emeryville, CA 94608-2412 | 2007-01-15 |
| 1912081480 | Sheldon L Marshall | Optometrist | 2860 S Bristol St Ste D, Santa Ana, CA 92704-6200 | 2006-10-24 |
| 1356312821 | Richard A Borghi | Optometrist | 6049 Douglas Blvd, Suite 23, Granite Bay, CA 95746-6284 | 2006-01-31 |
| 1720591480 | Jeffry Wu O.d. Professional Corporation | Optometrist | 112 E State St, Redlands, CA 92373-4756 | 2017-11-15 |
| 1568666824 | Paul S. Crismon, O.d. Inc | Optometrist | 13800 San Antonio Dr, Norwalk, CA 90650-4033 | 2007-06-12 |
| 1861553745 | Dodd & Winters Optical Center | Optometrist | 2434 Harrison Ave, Eureka, CA 95501 | 2006-12-13 |
| 1437233772 | Bradford G. Murray, O.d., A Professional Corp. | Optometrist | 1556 Meridian Ave, San Jose, CA 95125-5319 | 2006-10-24 |
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on CRAIG FELLERS OD INC.
| 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.