JASON E CROCKETT (NPI# 1932300308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932300308 |
| Entity Type | Individual |
| Full Name | JASON E CROCKETT |
| Credential | O.D |
| Practice Address |
1800 Old Lebanon Rd Campbellsville KY 42718-9663 |
| Practice Telephone | 2707892023 |
| Practice Fax Number | 2704655361 |
| Mailing Telephone | 2707892023 |
| Mailing Fax Number | 2704655361 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1581DT | KY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821075375 | Jason Mitchell Crockett | Chiropractor | 733 W Kearney St, Springfield, MO 65803-1229 | 2005-12-27 |
| 1922543131 | Jason Wesley Crockett | Registered Nurse | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710 | 2016-12-23 |
| 1497995245 | Jason Robert Crockett | Physician Assistant | 7431 Nw Loop 410 Ste 109, San Antonio, TX 78245-3597 | 2009-03-05 |
| Street Address |
1800 OLD LEBANON RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063459972 | Lannie Busey | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2006-05-31 |
| 1942833397 | Thomas G Abell IIi | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2020-02-13 |
| 1558611178 | Amedco Kentucky Pllc | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2012-09-11 |
| 1033140918 | Thomas G Abell Jr. | Ophthalmology | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2006-07-06 |
| 1245269539 | Eye Institute of Kentucky | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| 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 |
|---|---|---|---|---|
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| 1497784755 | Paul Lee Patterson II | Optometrist | 295 Campbellsville Bypass, Ste 1, Campbellsville, KY 42718 | 2006-06-30 |
| 1063459972 | Lannie Busey | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2006-05-31 |
| 1770589376 | Arthur Andrew Haley | Optometrist | 399 Campbellsville By Pass Rd, Ste 116, Campbellsville, KY 42718-8831 | 2005-06-28 |
| 1942833397 | Thomas G Abell IIi | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2020-02-13 |
| 1558611178 | Amedco Kentucky Pllc | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2012-09-11 |
| 1154579514 | Leslie N Richardson, O.d. Psc | Optometrist | 725 Campbellsville Byp, Campbellsville, KY 42718-8846 | 2008-08-28 |
| 1528238581 | Margena Lynn Keltner | Optometrist | 68 Wellness Ln, Campbellsville, KY 42718-7650 | 2008-03-06 |
| 1457488116 | Leslie N. Richardson | Optometrist | 725 Campbellsville Byp, Campbellsville, KY 42718-8846 | 2007-02-28 |
| 1235153404 | John Harold Matthews | Optometrist | 725 Campbellsville Byp, Campbellsville, KY 42718-8846 | 2006-07-27 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on JASON E CROCKETT.
| 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.