Crabtree, Jeffrey R
Crabtree, Jeffrey R is an sole proprietor health care provider with primary practice located at 6921 Foster Dr , Lake Worth TX 76135-2818. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crabtree, Jeffrey R can be contacted via phone (817) 439-9455.Contact Information
Primary practice address
6921 Foster Dr
Lake Worth TX 76135-2818
Phone: (817) 439-9455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6990T | Texas |
Profile Details
| NPI number | 1861573099 |
|---|---|
| LBN Legal business name | Crabtree, Jeffrey R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861573099 | NPPES |
| Texas | Other | 468430ZSWL | MEDICARE ID(S) ASSOCIATED WITH A REASSIGNMENT OF BENEFITS |
| Texas | Other | 6990T | MEDICARE ID(S) ASSOCIATED WITH A REASSIGNMENT OF BENEFITS |
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