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MAXIMILLIAN SCOTT CROCKETT OD
NPI 1255930160
Optometrist in Clarksville, TN

Active since October 21, 2020
2876 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040(931) 436-9175 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, Feb 24, 2023, Oct 21, 2020 (3 updates tracked since 2020).

About Maximillian Scott Crockett Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIMILLIAN SCOTT CROCKETT OD (NPI 1255930160) is an individual optometrist in Clarksville, Tennessee, licensed in Colorado (OPT.0003630) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1255930160
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMAXIMILLIAN SCOTT CROCKETTCredential: OD
Location Address2876 WILMA RUDOLPH BLVDClarksville, TN 37040-5001
Mailing Address2876 Wilma Rudolph BlvdClarksville, TN 37040-5001 · (931) 436-9175 · Fax (931) 552-1425
Phone(931) 436-9175
Sole ProprietorNo
Enumeration DateOctober 21, 2020
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1255930160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · OPT.0003630
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2876 WILMA RUDOLPH BLVD, Clarksville, TN 37040
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Other Identifiers 1

Other3733TN · Tn State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maximillian Crockett's NPI number?

The NPI number for Maximillian Crockett is 1255930160. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Maximillian Crockett located?

Maximillian Crockett practices at 2876 Wilma Rudolph Blvd, Clarksville, TN 37040. The listed phone number is (931) 436-9175.

What is Maximillian Crockett's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Maximillian Crockett accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Maximillian Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maximillian Crockett was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.