OrganizationActive
Edgar Crockett OD Ps
NPI 1962561639 · Optometrist · Tukwila, WA
Provider details
- NPI number
- 1962561639
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Edgar Crockett, Manager(206) 439-7588
- License
- OD00001214 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
70 Andover Park W
Tukwila, WA 98188
Phone: (206) 439-7588
Fax: (206) 241-6857
Street-level locationGet directions
Mailing address
70 Andover Park W
Tukwila, WA 98188
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.