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General NPI Number Information
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NPI Number | 1285646398
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Entity Type | Individual
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Provider Name | ROBERT WADE CROW MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 850 HEALTH SCIENCES RD
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City | IRVINE
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State | CA
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Zip | 92617-3058
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Country | US
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Telephone | 949-824-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 850 HEALTH SCIENCES RD
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City | IRVINE
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State | CA
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Zip | 92617-3058
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Country | US
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Telephone | 949-824-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 6259385-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A110458
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | A110458
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License Number State | CA
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