Active NPIIndividual provider

Dr. Philip L Crooks, OD

Optometrist in Revere, Massachusetts

NPI Number1043495260
Practice location
339 Squire RD, Pearle Vision, Revere, MA 02151-4309
Fax
781-289-6135
Last updated
January 7, 2008

Philip Lloyd Crooks is an Optometrist based in Revere, MA. Philip Lloyd Crooks practices in Revere, MA and has the professional credentials of OD. The NPI Number for Philip Lloyd Crooks is 1043495260 and holds a License No. MA 4265 (MA). The current practice location address for Philip Lloyd Crooks is 339 Squire RD, Pearle Vision, Revere, MA 02151-4309 and can be reached out via phone at 781-289-5900 and via fax at 781-289-6135.

Provider Profile Details

NPI Number
1043495260
Provider Name
Philip Lloyd Crooks
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
339 Squire RD, Pearle Vision, Revere, MA 02151-4309
Phone Number
781-289-5900
Fax Number
781-289-6135
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2008
Last Update Date
January 7, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 Squire RD
Pearle Vision
Revere, MA 02151-4309
City
Revere
Zip
02151-4309
Phone Number
781-289-5900
Fax Number
781-289-6135
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
339 Squire RD
Pearle Vision
Revere, MA 02151-4309
City
Revere
State
MA
Zip
02151-4309
Phone Number
781-289-5900
Fax Number
781-289-6135

License Information

License Number
MA 4265
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Philip L Crooks, OD?

The NPI number of Dr. Philip L Crooks, OD is 1043495260. It was assigned on January 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Philip L Crooks, OD?

Dr. Philip L Crooks, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number MA 4265.

Where does Dr. Philip L Crooks, OD practice?

The practice location is 339 Squire RD, Pearle Vision, Revere, MA 02151-4309. The office can be reached at 781-289-5900 (phone) or 781-289-6135 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043495260 directly on the NPPES registry website.

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