Individual provider Active NPI

Ashley N Crabtree, O.D.

  • Optometrist
  • Madison, SD
National Provider Identifier
1104055904
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
663 Issued in SD
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

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Vision Clinic, Inc. Optometrist CurrentSince Jan 9, 2012 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 PastSince Jan 1, 2000 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.

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

Verify at the official NPI Registry.