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General NPI Number Information
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NPI Number | 1467215640
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Entity Type | Organization
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Legal Business Name | CRAWFORD VISION CARE LLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 1217 POLARIS PKWY SPC 7A
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City | COLUMBUS
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State | OH
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Zip | 43240-2037
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Country | US
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Telephone | 614-987-8267
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 KENYON RD
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City | COLUMBUS
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State | OH
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Zip | 43221-1809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL CRAWFORD
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Credential | OD
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Telephone | 614-307-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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