Individual provider Active NPI

Debon Crews, OD

  • Optometrist
  • Ventura, CA
National Provider Identifier
1073864385
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14501 Issued in CA
Practice address
10225 Telephone Rd Ste E
Ventura, CA 93004-2825
Phone
(805) 647-4950
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14501 CA Primary

Addresses

Primary practice location

10225 Telephone Rd Ste E
Ventura, CA 93004-2825

Mailing address

10225 Telephone Rd Ste E
Ventura, CA 93004-2825
Phone (805) 647-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130625000238 CA Practitioner - Optometry 7810136736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10225 Telephone Rd
Suite E
Ventura, CA 93004-2825
Phone (805) 647-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Debon Crews, Optometric Corporation Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Justin T. Abo, O.D. Optometrist PastSince May 15, 2013 Accepting new patients

Locations

10225 Telephone Rd
Ste E
Ventura, CA 93004
Phone (619) 302-3412

Organizations & group practices 3

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1073864385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 TELEPHONE RD STE E",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042825",
            "telephone_number": "805-647-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 TELEPHONE RD STE E",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042825",
            "telephone_number": "805-647-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "DEBON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.