Dr Derrick W Crabtree, OD | |
5430 Fredericksburg Rd, Ste 100, San Antonio, TX 78229-3539 | |
(210) 340-1212 | |
(210) 525-9617 |
Full Name | Dr Derrick W Crabtree |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 10 Years |
Location | 5430 Fredericksburg Rd, San Antonio, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144633439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618002333 (Virginia) | Primary |
152W00000X | Optometrist | 9048 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bennett Eyecare Midwest Llc | 5890840185 | 6 |
Provider Name | Bennett Eyecare Midwest Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578598041 PECOS PAC ID: 5890840185 Enrollment ID: O20090910000441 |
Mailing Address | Practice Location Address |
---|---|
Dr Derrick W Crabtree, OD 2441 Nw Prairie View Rd, Platte City, MO 64079-7627 Ph: (816) 858-2522 | Dr Derrick W Crabtree, OD 5430 Fredericksburg Rd, Ste 100, San Antonio, TX 78229-3539 Ph: (210) 340-1212 |
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