IndividualActive
Maximillian Crockett, OD
NPI 1255930160 · Optometrist · Clarksville, TN
Maximillian Crockett, OD is a Optometrist provider in Clarksville, TN (NPI 1255930160).
Provider details
- NPI number
- 1255930160
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPT.0003630 (CO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2876 Wilma Rudolph Blvd
Clarksville, TN 37040-5001
Phone: (931) 436-9175
Street-level locationGet directions
Mailing address
2876 Wilma Rudolph Blvd
Clarksville, TN 37040-5001
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Frequently asked questions
- What is Maximillian Crockett's NPI number?
- Maximillian Crockett's National Provider Identifier (NPI) is 1255930160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maximillian Crockett's specialty?
- Maximillian Crockett is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Maximillian Crockett located?
- Maximillian Crockett's practice location on file with NPPES is 2876 Wilma Rudolph Blvd, Clarksville, TN 37040-5001.
- What is Maximillian Crockett's phone number?
- The practice phone number listed in the NPPES registry for Maximillian Crockett is (931) 436-9175.
- Is Maximillian Crockett's NPI active?
- Yes — Maximillian Crockett's NPI (1255930160) is active in the NPPES registry as of the last update on 2024-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.