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EDGAR CROCKETT OD PS
NPI 1962561639
Optometrist in Tukwila, WA

Active since December 08, 2006
70 ANDOVER PARK W, TUKWILA, WA 98188(206) 439-7588(206) 241-6857 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar Crockett Od Ps NPPES

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

EDGAR CROCKETT OD PS (NPI 1962561639) is a healthcare organization registered as an optometrist in Tukwila, Washington and active in the NPI registry since December 2006. The organization lists Edgar P Crockett, Manager, as its authorized official.

NPPES Registry Identity

NPI1962561639
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEDGAR CROCKETT OD PS
Location Address70 ANDOVER PARK WTukwila, WA 98188
Mailing Address70 Andover Park WTukwila, WA 98188 · (206) 439-7588 · Fax (206) 241-6857
Phone(206) 439-7588
Fax(206) 241-6857
Organization SubpartNo
Authorized OfficialEdgar P CrockettManager · (206) 439-7588
Enumeration DateDecember 8, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1962561639 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 WA · OD00001214
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.
70 ANDOVER PARK W, Tukwila, WA 98188
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Other Identifiers 3

Medicare ID-Type UnspecifiedAB03075WA
Medicaid2021384WA
Medicare UPINT02686WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDGAR P CROCKETT OD
Optometrist
70 ANDOVER PARK W
TUKWILA, WA 98188
King County (206) 439-7588

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 Edgar Crockett Od Ps's NPI number?

The NPI number for Edgar Crockett Od Ps is 1962561639. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Edgar Crockett Od Ps located?

Edgar Crockett Od Ps is located at 70 Andover Park W, Tukwila, WA 98188. The listed phone number is (206) 439-7588.

What is Edgar Crockett Od Ps's specialty?

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

When was this NPI record last updated?

The NPPES record for Edgar Crockett Od Ps was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.