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CRABTREE & MERRIMAN-DOCTORS OF OPTOMETRY NPI 1609072263


NPI Information

NPI: 1609072263
Provider Name: CRABTREE & MERRIMAN-DOCTORS OF OPTOMETRY

Doing Business As: JACOBS & CRABTREE DCTRS OF OPTOMETRY

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
1508 SIOUX DR
MARION, IL
ZIP 62959
Phone: (618) 993-8787
Get Directions

CRABTREE & MERRIMAN-DOCTORS OF OPTOMETRY is a corneal and contact management optometrist in Marion, IL. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. CRABTREE & MERRIMAN-DOCTORS OF OPTOMETRY NPI is 1609072263. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jacobs & Crabtree Dctrs Of Optometry.

The provider's business location address is:

1508 SIOUX DR
MARION, IL
ZIP 62959-209
Phone: (618) 993-8787
Fax: (618) 997-6547

The provider's authorized official is Celisha Merriman .
The authorized official title is Owner and has the following contact phone number (618) 697-4673.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 10/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management046-008310ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A410048440OTHERILLINOISPALMETTO GBA - RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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