Individual
DR. MICHAEL JAY CRAWFORD
Active
Individual
DR. MICHAEL JAY CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3604
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03064
PARAMOUNT HEALTHCARE
OH
05
—
0489449
—
OH
01
—
360944
NVA
OH
Enumeration date
07/12/2006
Last updated
05/01/2009
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