DR. JON MICHAEL CRUM (NPI# 1760410237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760410237 |
| Entity Type | Individual |
| Full Name | DR. JON MICHAEL CRUM |
| Credential | OD |
| Practice Address |
2581 Chino Hills Pkwy Ste C Chino Hills CA 91709-5117 |
| Practice Telephone | 9093938378 |
| Practice Fax Number | 9093930228 |
| Mailing Telephone | 9093938378 |
| Mailing Fax Number | 9093930228 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CA9524T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0095240 | 05 |
| Street Address |
2581 CHINO HILLS PKWY STE C |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982054003 | Rich Yang | Optometrist | 2581 Chino Hills Pkwy, Chino Hills, CA 91709-5117 | 2016-06-20 |
| 1831378843 | Crum Optometric Group, Inc | Optometrist | 2581 Chino Hills Pkwy, Suite C, Chino Hills, CA 91709-5117 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750942 | Marvin Chi | Optometrist | 2581 Chino Hills Pkwy Ste C, Chino Hills, CA 91709-5117 | 2019-06-28 |
| 1619305588 | Juliana Ngan Ha Le | Optometrist | 2325 Madrugada Dr, Chino Hills, CA 91709-1370 | 2013-10-31 |
| 1124450929 | Steven Soong | Optometrist | 2935 Chino Ave Ste E3, Chino Hills, CA 91709-3575 | 2013-08-02 |
| 1902118474 | Sophie Hsu | Optometrist | 2935 Chino Ave, Suite E3, Chino Hills, CA 91709-3575 | 2010-07-13 |
| 1124250105 | Kelly Chien Trinh | Optometrist | 13885 City Center Dr, Suite 3030, Chino Hills, CA 91709 | 2009-08-10 |
| 1265685978 | Tammy C. Shinen, O.d., Inc. | Optometrist | 15390 Fairfield Ranch Rd, Suite E, Chino Hills, CA 91709-8854 | 2008-10-25 |
| 1790976280 | Ly Ngoc Nguyen | Optometrist | 16406 Blue Grass Ln, Chino Hills, CA 91709-2301 | 2007-08-08 |
| 1154461754 | Micah Vienhoc Pan | Optometrist | 15942 Los Serranos Country Club Dr, Suite A, Chino Hills, CA 91709-4531 | 2007-02-06 |
| 1821145459 | Lucy P Lu | Optometrist | 4200 Chino Hills Pkwy Ste 390, Chino Hills, CA 91709-5825 | 2007-01-04 |
| 1972114478 | Jesse Kai Hoshizaki | Optometrist | 4200 Chino Hills Pkwy Ste 390, Chino Hills, CA 91709-5825 | 2020-08-10 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.