Individual provider Active NPI

Russell Keith Crosier, O.D.

  • Optometrist
  • Arlington, TX
National Provider Identifier
1104919059
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4961TG Issued in TX
Practice address
5425 Matlock Rd.
Suite 100
Arlington, TX 76018-1558
Phone
(817) 557-4100
Fax
(817) 557-4176
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4961TG TX Primary

Addresses

Primary practice location

5425 Matlock Rd.
Suite 100
Arlington, TX 76018-1558

Mailing address

5425 Matlock Rd.
Suite 100
Arlington, TX 76018-1558
Phone (817) 557-4100

Other identifiers 1

IdentifierTypeStateIssuer
0191744-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090428000393 TX Practitioner - Optometry 1456409697 Reassigns benefits to 2 organizations
Practice locations: Arlington, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

5425 Matlock Rd
Suite 100
Arlington, TX 76018-1558
Phone (817) 557-4100

8329 Whitley Rd
Watauga, TX 76148-2483
Phone (817) 431-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Vision Care PA CurrentSince Apr 2, 2018 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 15, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 15, 2025 Accepting new patients
Arlington Vision Care PastSince Jan 1, 1990 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

5425 Matlock Rd
Ste 100
Arlington, TX 76018
Phone (817) 557-4100

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1104919059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 MATLOCK RD.",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181558",
            "telephone_number": "817-557-4100",
            "fax_number": "817-557-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 MATLOCK RD.",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181558",
            "telephone_number": "817-557-4100",
            "fax_number": "817-557-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSIER",
        "first_name": "RUSSELL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4961TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191744-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.