Individual provider Active NPI

Adrian Crichton, O.D.

  • Optometrist
  • East Meadow, NY
National Provider Identifier
1073997052
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009910RT Issued in NY
Practice address
30 Merrick Ave Ste 100
East Meadow, NY 11554-1580
Phone
(516) 812-8678
NPI assigned
Jul 20, 2015
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009910RT NY Primary

Addresses

Primary practice location

30 Merrick Ave Ste 100
East Meadow, NY 11554-1580

Mailing address

30 Merrick Ave Ste 100
East Meadow, NY 11554-1580
Phone (516) 812-8678

Other practice location 1

200 Motor Pkwy Ste D-25
Hauppauge, NY 11788-5116
Phone (631) 952-8000

Other practice location 2

450 Endo Blvd
Garden City, NY 11530-6723
Phone (516) 928-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240128000098 NY Practitioner - Optometry 8820307663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580
Phone (516) 812-8678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009910RTNYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island CurrentSince Feb 1, 2024 Accepting new patients
Ophthalmic Consultants of Long Island Past Accepting new patients

Locations

30 Merrick Ave
Ste 100
East Meadow, NY 11554
Phone (516) 307-9900

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666

200 Motor Pkwy
Ste D25
Hauppauge, NY 11788
Phone (631) 952-8000

649 Broadway
Massapequa, NY 11758
Phone (516) 798-1411

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

Interoperability endpoints

  • Direct secure messaging: adrian.crichton.p1@direct.katzeneye.nextgenshare.com
  • Direct secure messaging: adrian.crichton.p1@direct.ocli.nextgenshare.com

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, 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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1073997052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE STE 100",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-812-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE STE 100",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-812-8678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Motor Pkwy Ste D-25",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117885116",
            "country_code": "US",
            "telephone_number": "631-952-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Endo Blvd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115306723",
            "country_code": "US",
            "telephone_number": "516-928-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRICHTON",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009910RT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.