Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerad Croswell, OD

Individual provider Optometrist · NPI 1619603297

Jerad Croswell, OD is an Optometry in Pendleton, Oregon. Graduated from Pacific University - College of Optometry in 2022, 4 years ago. Practices with Yellowhawk Tribal Health Center, an 18-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

46314 Timine Way
Pendleton, OR 97801-9417
Phone: (541) 966-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4639 (OR)

Record details

NPI number1619603297
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 12, 2022
Mailing address46314 Timine Way, Pendleton, OR 97801-9417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Yellowhawk Tribal Health Center — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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