| Justin Crockett, | |
|
5891 W Eugie Ave, Glendale, AZ 85304-1252 | |
| (800) 233-3264 | |
| Not Available |
| Full Name | Justin Crockett |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 5891 W Eugie Ave, Glendale, Arizona |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417583915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002445 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wind River Family And Community Health Care | 1850683780 | 36 |
| Provider Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Provider Name | Wind River Family & Community Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285006379 PECOS PAC ID: 1850683780 Enrollment ID: O20160713000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Crockett, 25500 N Norterra Dr, Phoenix, AZ 85085-8200 Ph: (623) 277-2370 | Justin Crockett, 5891 W Eugie Ave, Glendale, AZ 85304-1252 Ph: (800) 233-3264 |
Dr. Margarita Alicia Coca, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308 Phone: 623-486-2020 | |
Vt Optometry Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18551 N 83rd Ave, Glendale, AZ 85308 Phone: 623-825-9680 | |
Dr. Diana Vega Hernandez, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7260 W Bell Rd, Glendale, AZ 85308 Phone: 623-486-1888 Fax: 623-486-8001 | |
Krupa J Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5865 W Utopia Rd, Glendale, AZ 85308 Phone: 623-537-6000 | |
Michael L Berger Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 6677 W Thunderbird Rd #b132, Glendale, AZ 85306 Phone: 602-978-1199 | |
Dr. Ryan Ambrose, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3870 W Happy Valley Rd Ste 150, Glendale, AZ 85310 Phone: 623-362-8642 Fax: 623-561-1190 | |
Stacie L Westen Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5605 W Northern Ave, Glendale, AZ 85301 Phone: 623-934-6917 |