Active NPI
Grant Criger, OD
- Optometrist
- Mountain Home, AR
National Provider Identifier
1073280749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2838
- Practice address
- 2943 Highway 62 W
Mountain Home, AR 72653-6535 - Phone
- (870) 701-5119
- Fax
- (870) 424-3588
- NPI assigned
- Aug 30, 2021
- Last updated
- Oct 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2838 | AR | Primary |
Addresses
Primary practice location
2943 Highway 62 W
Mountain Home, AR 72653-6535
Mailing address
PO Box 444
Mountain Home, AR 72654-0444
Phone (870) 701-5119
Other practice location 1
105 Sawgrass Pt
Harrison, AR 72601-3072
Phone (870) 701-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kilgore Vision Center | Optometrist | Current | Accepting new patients |
Locations
105 Sawgrass Pt
Harrison, AR 72601
Phone (870) 741-1910
2943 Highway 62 W
Mountain Home, AR 72653
Phone (870) 424-3838
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1073280749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726540444",
"telephone_number": "870-701-5119",
"fax_number": "870-424-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2943 HIGHWAY 62 W",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726536535",
"telephone_number": "870-701-5119",
"fax_number": "870-424-3588"
}
],
"practiceLocations": [
{
"address_1": "105 Sawgrass Pt",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "AR",
"postal_code": "726013072",
"country_code": "US",
"telephone_number": "870-701-5119",
"fax_number": "870-424-3588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIGER",
"first_name": "GRANT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-30",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.