Edgar P Crockett, OD
Optometrist in Tukwila, WA. Individual provider (NPI-1).
NPI number1801955737
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1801955737
- Entity type
- Individual (NPI-1)
- Name
- Edgar P Crockett
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD00001214 | WA | Yes |
Practice location
70 Andover Park WTukwila, WA 98188
Phone 206-439-7588 · Fax 206-241-6857
Mailing address
70 Andover Park WTukwila, WA 98188
Phone 206-439-7588 · Fax 206-241-6857
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All 26 Optometrist providers in Tukwila · All 1,891 providers in Tukwila
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