DR. DAVID KIM CROCKETT (NPI# 1891779690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891779690 |
| Entity Type | Individual |
| Full Name | DR. DAVID KIM CROCKETT |
| Credential | OD |
| Practice Address |
1345 Wadsworth Blvd Lakewood CO 80214-4209 |
| Practice Telephone | 3032389900 |
| Practice Fax Number | 3032388527 |
| Mailing Telephone | 3032389900 |
| Mailing Fax Number | 3032388527 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ESP1196 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 4023859 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1215306485 | David Crockett | Acupuncturist | 78 Haele Pl, Makawao, HI 96768-8054 | 2015-09-17 |
| 1801107636 | David G Crockett | Internal Medicine | 985100 Nebraska Medical Ctr, Omaha, NE 68198-5100 | 2010-06-26 |
| 1629234620 | David Hubert Larue Crockett | Counselor | 2201 N. 22nd Ave., Suite Number A, Show Low, AZ 85901-1587 | 2008-07-30 |
| 1871003905 | David E Crockett | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-10-03 |
| 1730315342 | David Bowen Crockett | Massage Therapist | 1245 Charnelton St, Suite 8, Eugene, OR 97401-6214 | 2009-06-09 |
| 1225282882 | David J. Crockett | Otolaryngology | 4545 E Chandler Blvd, Suite 202, Phoenix, AZ 85048-7645 | 2008-11-10 |
| 1376605535 | David Shan Crockett | Psychiatry & Neurology | 911 Sunset Dr, Hollister, CA 95023-5602 | 2006-12-14 |
| 1356367502 | David Sanders Crockett | Dentist | 22296 Main St, Hayward, CA 94541 | 2006-07-14 |
| Street Address |
1345 WADSWORTH BLVD |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144293481 | Olen Curtis Crockert | Dentist | 1345 Wadsworth Blvd, Lakewood, CO 80214 | 2006-02-08 |
| 1043754419 | Alex Zemke, Od, Pllc | Optometrist | 1345 Wadsworth Blvd, Lakewood, CO 80214-4209 | 2016-12-05 |
| 1215285978 | Amanda Mills Dailey | Optometrist | 1345 Wadsworth Blvd, Lakewood, CO 80214-4209 | 2012-08-28 |
| 1578825634 | Alex C Zemke | Optometrist | 1345 Wadsworth Blvd, Lakewood, CO 80214-4209 | 2012-06-13 |
| 1902080716 | Crockett Vision Center Inc. | Optometrist | 1345 Wadsworth Blvd, Lakewood, CO 80214-4209 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| 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 |
|---|---|---|---|---|
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1811515075 | Lindee Jo Lorig | Optometrist | 5216 Montair Ave, Lakewood, CA 90712-2749 | 2020-07-13 |
| 1013564228 | National Vision Inc | Optometrist | 98 Wadsworth Blvd Unit 118, Lakewood, CO 80226-1552 | 2019-08-22 |
| 1700439528 | Cody F. Jackson | Optometrist | 14500 W Colfax Ave Unit 524, Lakewood, CO 80401-3235 | 2019-07-21 |
| 1710548904 | Metrowest Eye Associates, P.C. | Optometrist | 8585 W 14th Ave Ste C, Lakewood, CO 80215-4860 | 2019-06-27 |
| 1770033466 | Joel Matoba | Optometrist | 200 Union Blvd Ste 415, Lakewood, CO 80228-1832 | 2016-10-06 |
| 1275985616 | Lauren Sowash | Optometrist | 355 S Wadsworth Blvd Unit D, Lakewood, CO 80226-3136 | 2016-07-11 |
| 1548610066 | Brett Igbinoba | Optometrist | 9101 Bridgeport Way Sw Ste C, Lakewood, WA 98499-2419 | 2016-06-15 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1043604051 | Dr. Phung Quach, Od Inc. | Optometrist | 11421 Carson St Ste F, Lakewood, CA 90715-2500 | 2015-03-27 |
| Find all providers in LAKEWOOD | ||||
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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.