Healthcare Provider Details

I. General information

NPI: 1891248084
Provider Name (Legal Business Name): MICAELA CROWLEY O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 LITTLETON RD STE 9
WESTFORD MA
01886-3106
US

IV. Provider business mailing address

21 WORTHEN RD
LEXINGTON MA
02421-4835
US

V. Phone/Fax

Practice location:
  • Phone: 781-876-2020
  • Fax:
Mailing address:
  • Phone: 781-876-2020
  • Fax: 781-863-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number5147
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5147
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: