Individual
DR. EDWARD EVANS CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1328 SEYMOUR DR, SOUTH BOSTON, VA 24592-3914
(434) 575-7360
(434) 575-7618
Mailing address
PO BOX 795, SOUTH BOSTON, VA 24592-0795
(434) 575-7360
(434) 575-7618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075525
ANTHEM
VA
05
—
9203842
—
VA
Enumeration date
06/30/2005
Last updated
05/20/2008
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