Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK STEPHEN CREAGMILE, MD
Active Sole ProprietorMR. JACK STEPHEN CREAGMILE, MD is a Glaucoma Specialist healthcare provider located in LOMA LINDA, California. NPI 1659909497 is currently active in the NPPES registry. Verify at CMS.
Glaucoma Specialist · LOMA LINDA, CA
Registration Details
- NPI Number
- 1659909497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2020 (6.4033171538737 yrs)
- Last Updated
- Aug 6, 2025
- Licenses
-
A193595 (CA)A193595 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11370 ANDERSON ST # 1800LOMA LINDA, CA, 923543450Browse CA providers · Browse ZIP 92354
- Phone
- 9095582154
- Primary Specialty
-
Glaucoma Specialist
207WX0009X
- Additional Specialty
- Glaucoma Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.