Active NPI
Ashley N Crabtree, O.D.
- Optometrist
- Madison, SD
National Provider Identifier
1104055904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 663
- Practice address
- 411 SE 10TH St
Madison, SD 57042-3567 - Phone
- (605) 256-2020
- Fax
- (605) 256-3597
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- 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 | 663 | SD | Primary |
Addresses
Primary practice location
411 SE 10TH St
Madison, SD 57042-3567
Mailing address
411 SE 10TH St
PO Box 58
Madison, SD 57042-3567
Phone (605) 256-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090729000391 | SD | Practitioner - Optometry | 8628121290 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
411 SE 10TH St
Madison, SD 57042-3567
Phone (605) 256-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Vision Clinic, Inc. | Optometrist | Current | Accepting new patients |
| Madison Vision Clinic | Optometrist | Past | Accepting new patients |
| TKC Optical | Past | Accepting new patients | |
| TKC Optical, Inc. | Past | Accepting new patients | |
| Barnett Vision Center LLP | Optometrist | Past | Accepting new patients |
Locations
411 SE 10th St
Madison, SD 57042
Phone (605) 256-2020
Organizations & group practices 5
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.
-
- Optometrist
- Madison, SD
- NPI 1174894356
-
- Optometrist
- Aberdeen, SD
- NPI 1861609075
-
- Optometrist
- Madison, SD
- NPI 1861531642
-
- Eyewear Supplier
- Sioux Falls, SD
- NPI 1255486346
-
- Eyewear Supplier
- Storm Lake, IA
- NPI 1467501981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1104055904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SE 10TH ST",
"address_2": "PO BOX 58",
"city": "MADISON",
"state": "SD",
"postal_code": "570423567",
"telephone_number": "605-256-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SE 10TH ST",
"city": "MADISON",
"state": "SD",
"postal_code": "570423567",
"telephone_number": "605-256-2020",
"fax_number": "605-256-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "ASHLEY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.