Jason E Crockett, O.D

NPI #1932300308 in Campbellsville, Kentucky

Provider Information

NPI Number: 1932300308
Entity Type: Individual
Name: Jason E Crockett, O.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D
Enumeration Date: May 31, 2007
Last Updated: Feb 28, 2013

Practice Location

Address: 1800 OLD LEBANON RD
City: Campbellsville
State: Kentucky
ZIP Code: 42718-9663
Phone: (270) 789-2023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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