Stephen H Creviston (NPI# 1245360072, PAC ID# 7719978253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1245360072 |
| PAC ID by PECOS | 7719978253 |
| Professional Enrollment ID | I20040521001166 |
| Full Name | Stephen H Creviston |
| Organization Legal Name | CREVISTON AND PEDERSEN LLC |
| Address |
224 W Valley Rd Moses Lake WA 98837-1582 |
| Phone Number | 5097661880 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8921064981 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 224 W Valley Rd, Moses Lake, WA 98837-1582 | 5097661880 | CREVISTON AND PEDERSEN LLC |
| 601 S Pioneer Way G, Vision Clinic, Moses Lake, WA 98837-1837 | 5097652125 | CREVISTON AND PEDERSEN LLC |
| Organization Legal Name | CREVISTON AND PEDERSEN LLC |
| Physicians | 1 |
| Street Address |
224 W VALLEY RD |
| City | MOSES LAKE |
| State | WA |
| Zip | 98837-1582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay K Callarman | Podiatry | 830 Nw Sunburst Ct, Moses Lake, WA 98837-1425 | |
| Randy C Bruce | Physical Therapy | Moses Lake Sports Physical Therapy Ps | 515 N Stratford Rd, Moses Lake, WA 98837-1572 |
| Joshua L Bruce | Physical Therapy | Moses Lake Sports Physical Therapy Ps | 515 N Stratford Rd, Moses Lake, WA 98837-1572 |
| Saul E Ribellia | Chiropractic | Family Lifestyle Chiropractic Pllc | 305 E Broadway Ave, Moses Lake, WA 98837-1719 |
| Richard Ribellia | Chiropractic | Family Lifestyle Chiropractic Pllc | 305 E Broadway Ave, Moses Lake, WA 98837-1719 |
| Lisha A Ribellia | Chiropractic | Family Lifestyle Chiropractic Pllc | 305 E Broadway Ave, Moses Lake, WA 98837-1719 |
| Patrick J Hickman | Chiropractic | 312 S Balsam St A, Moses Lake, WA 98837-1796 | |
| Kenneth B Lake | Certified Registered Nurse Anesthetist (crna) | Grant County Public Hospital District 1 | 801 E Wheeler Rd, Moses Lake, WA 98837-1820 |
| Lysa S Ward | Emergency Medicine | Grant County Public Hospital District 1 | 801 E Wheeler Rd, Moses Lake, WA 98837-1820 |
| Robert Brucker | Certified Registered Nurse Anesthetist (crna) | Grant County Public Hospital District 1 | 801 E Wheeler Rd, Moses Lake, WA 98837-1820 |
| Find all physicians in zip 98837 | |||
| City | MOSES LAKE |
| Zip Code | 98837 |
| Specialty | OPTOMETRY |
| City + Specialty | MOSES LAKE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.