Individual
DR. ALLISON LEA CRUTCHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10557 E HIGHWAY 51, BROKEN ARROW, OK 74014-2308
(918) 279-8830
(866) 871-7350
Mailing address
10557 E HIGHWAY 51, BROKEN ARROW, OK 74014-2308
(918) 279-8830
(866) 871-7350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2805
OK
152W00000X
Optometrist
3052
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-03406
MEDICA
MN
01
—
696455000
MN CARE
MN
01
—
811T9KL
BLUE CROSS BLUE SHIELD
MN
01
—
HP70338
HEALTHPARTNERS
MN
01
—
MN3052
EYEMED
MN
Enumeration date
02/02/2007
Last updated
03/02/2015
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