Individual provider Active NPI

William Allen Crisp, O.D.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1063542975
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5233TG Issued in TX
Practice address
4101 US Highway 77
Ste B3
Corpus Christi, TX 78410-4543
Phone
(361) 241-9357
Fax
(361) 241-4461
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5233TG TX Primary

Addresses

Primary practice location

4101 US Highway 77
Ste B3
Corpus Christi, TX 78410-4543

Mailing address

4101 US Highway 77
Ste B3
Corpus Christi, TX 78410-4543
Phone (361) 241-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090403000175 TX Practitioner - Optometry 9537216718 Reassigns benefits to 1 organization
Practice locations: Corpus Christi, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Points Eyecare PLLCGroup PAC ID 4183956154, 2 clinicians

Practice addresses (Care Compare)

4101 Ih 69 Access Rd
Corpus Christi, TX 78410-4543
Phone (361) 241-9357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5233TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Points Eyecare, PLLC Optometrist CurrentSince Sep 6, 2019 Accepting new patients
Five Points Optical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1063542975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "STE B3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104543",
            "telephone_number": "361-241-9357",
            "fax_number": "361-241-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "STE B3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104543",
            "telephone_number": "361-241-9357",
            "fax_number": "361-241-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5233TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.