Crutchmer, Allison Lea
Crutchmer, Allison Lea is an individual health care provider with primary practice located at 10557 E Highway 51 , Broken Arrow OK 74014-2308. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Crutchmer, Allison Lea can be contacted via phone (918) 279-8830.Contact Information
Primary practice address
10557 E Highway 51
Broken Arrow OK 74014-2308
Phone: (918) 279-8830
Fax: (866) 871-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3052 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2805 | Oklahoma |
Profile Details
| NPI number | 1639217417 |
|---|---|
| LBN Legal business name | Crutchmer, Allison Lea |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Mar 2nd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639217417 | NPPES |
| Minnesota | Other | 22-03406 | MEDICA |
| Minnesota | Other | 811T9KL | MEDICA |
| Minnesota | Other | MN3052 | MEDICA |
| Minnesota | Other | 696455000 | MEDICA |
| Minnesota | Other | HP70338 | MEDICA |
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