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

Maximillian Scott Crockett, OD

Individual provider Optometrist · NPI 1255930160

Maximillian Scott Crockett, OD is an Optometrist in Clarksville, Tennessee. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020
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

2876 Wilma Rudolph Blvd
Clarksville, TN 37040-5001
Phone: (931) 436-9175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.0003630 (CO)

Record details

NPI number1255930160
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 21, 2020
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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