Jerad Croswell, OD
Jerad Croswell is a Optometrist provider (Optometrist) practicing in Pendleton, OR, registered in the NPPES registry with NPI 1619603297 since 2022. The credential OD stands for Doctor of Optometry.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619603297 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jerad Croswell |
| Credential | OD |
| Sex | Male |
| Practice address | 46314 TIMINE WAY, Pendleton, OR, 97801 |
| Phone | 5419669830 |
| Enumeration date | 2022-07-27 |
| Last updated in NPPES | 2022-07-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | ATI4639 | OR |
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential
Copy-ready billing details
Provider: Jerad Croswell, OD NPI: 1619603297 Taxonomy: 152W00000X (Optometrist) Address: 46314 TIMINE WAY, Pendleton, OR, 97801
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144147737 | Kenneth Mayfield | Individual | Peer Specialist | Pendleton, OR |
| 1871574087 | John Eaton | Individual | Pharmacist | Pendleton, OR |
| 1598741860 | Bryan Canwell | Individual | Medical Physician Assistant | Pendleton, OR |
| 1245204924 | Joseph Wujek | Individual | Obstetrics & Gynecology Physician | Pendleton, OR |
| 1528035672 | Dorothy Diede | Individual | Social Worker | Pendleton, OR |
| 1346283488 | Yellowhawk Tribal Health Center | Organization | Clinic/Center | Pendleton, OR |
| 1447269774 | Mark Clippinger | Individual | Family Medicine Physician | Pendleton, OR |
| 1306950084 | Daniel Kaylor | Individual | General Practice Dentistry | Pendleton, OR |
Verify this record
Cross-check NPI 1619603297 against the authoritative CMS record: view Jerad Croswell on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-27.