NPI 1083654701

Matthew David Crookston, OD

Practitioner Optometrist League City, TX

Practice location

Address: 2103 Pleasant Valley Dr, League City, TX 77573-4430
Phone: (713) 894-7104
Mailing address: 301 University Blvd, Galveston, TX 77555-5302

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5719TG (TX)

Other Optometrist providers in Texas →

Registry record

NPI: 1083654701
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 12 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.