Individual
DR. JEFFREY R CRABTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6921 FOSTER DR, LAKE WORTH, TX 76135-2818
(817) 439-9455
Mailing address
6921 FOSTER DR, LAKE WORTH, TX 76135-2818
(817) 439-9455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6990T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468430ZSWL
MEDICARE ID(S) ASSOCIATED WITH A REASSIGNMENT OF BENEFITS
TX
01
—
6990T
OPTOMETRIC LICENSE
TX
Enumeration date
10/17/2006
Last updated
03/07/2023
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