Crawley, Kenneth Robert

Crawley, Kenneth Robert is an sole proprietor health care provider with primary practice located at 3501 N Granville Ave Ste L4 Muncie Mall, Muncie IN 47303-1254. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crawley, Kenneth Robert can be contacted via phone (765) 286-5977.

Contact Information

Primary practice address
3501 N Granville Ave Ste L4 Muncie Mall Muncie IN 47303-1254
Fax: (765) 286-5988
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001737 Indiana

Profile Details

NPI number 1164547048
LBN Legal business name Crawley, Kenneth Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Nov 5th, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164547048 NPPES
Other 1737 VISION BENEFITS OF AMERIC
Other 43106 VISION BENEFITS OF AMERIC
Other 217779 VISION BENEFITS OF AMERIC
Other 000000269589 VISION BENEFITS OF AMERIC
Other 000000269582 VISION BENEFITS OF AMERIC
Other 919893 VISION BENEFITS OF AMERIC
Other 990002951 VISION BENEFITS OF AMERIC
Other 10609 VISION BENEFITS OF AMERIC
Other P00083065 VISION BENEFITS OF AMERIC
Other 918567 VISION BENEFITS OF AMERIC

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