Provider Demographics
NPI:1124268198
Name:CRAWFORD EYE ASSOCIATES INC
Entity type:Organization
Organization Name:CRAWFORD EYE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-724-2020
Mailing Address - Street 1:1039 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-4324
Mailing Address - Country:US
Mailing Address - Phone:814-724-2020
Mailing Address - Fax:814-337-1150
Practice Address - Street 1:1039 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-4324
Practice Address - Country:US
Practice Address - Phone:814-724-2020
Practice Address - Fax:814-337-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000519261Q00000X
PAOEG000830261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1033290895OtherDR. WALKER NPI#
GR426712OtherBC/BS DR GRIFFITH
PA1902047053OtherCEA ORG NPI
580001973OtherRAILROAD MC
PAP00703013OtherMPW RAILROAD PTAN
1790961217OtherDR. WALKER ORG NPI#
1184690117OtherDR GRIFFITH NPI#
205057OtherUPMC
PAOEG000830OtherPA LICENSE
410002224OtherRAILROAD MEDICARE
PAP00705378OtherGG RAILROAD PTAN
1659557189OtherDR. GRIFFITH ORG NPI#
6215130001OtherDMERC PTAN
WA194442OtherBC/BS DR WALKER
1790961217OtherDR. WALKER ORG NPI#
205057OtherUPMC
410002224OtherRAILROAD MEDICARE