Individual
DR. JOSEPH E CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1143 OAK RIDGE TPKE, SUITE 103, OAK RIDGE, TN 37830-6422
(865) 483-3031
(865) 483-7641
Mailing address
1143 OAK RIDGE TPKE, SUITE 103, OAK RIDGE, TN 37830-6422
(865) 483-3031
(865) 483-7641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T718
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0556440001
BCBS-PALMETTO-GOV'T BENEF
TN
01
—
13940
PHP TENNCARE
TN
05
—
13940
—
TN
01
—
OT42164
UNITED HEALTHCARE
TN
01
—
TN0718
EYEMED
TN
Enumeration date
09/06/2005
Last updated
11/24/2008
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