Individual
DR. COREY CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1412 N AUGUSTA ST, STAUNTON, VA 24401-2401
(540) 885-0006
(540) 885-5276
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002861
VA
152W00000X
Optometrist
4901005383
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2019
Last updated
11/13/2025
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