Individual
DONALD W CRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2803 CHARLES ST, ROCKFORD, IL 61108-1610
(815) 398-3224
(815) 398-3244
Mailing address
2803 CHARLES ST, ROCKFORD, IL 61108-1610
(815) 398-3224
(815) 398-3244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
466109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250810
MEDICARE PROVIDER NUMBER
IL
Enumeration date
07/31/2006
Last updated
09/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us