Individual provider Active NPI

Margit Craig, O.D.

  • Optometrist
  • Westlake Village, CA
National Provider Identifier
1124024294
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14355 TPL Issued in CA
Practice address
4353 Park Terrace Dr
Ste 150
Westlake Village, CA 91361-4631
Phone
(805) 987-5300
Fax
(805) 987-5330
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2004020414 MO
Optometrist 152W00000X OPT 14355 TPL CA Primary

Addresses

Primary practice location

4353 Park Terrace Dr
Ste 150
Westlake Village, CA 91361-4631

Mailing address

1877 E Daily Dr
Ste D-1
Camarillo, CA 93010-6205
Phone (805) 987-5300

Other identifiers 1

IdentifierTypeStateIssuer
318344421MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 14355 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Dougherty M D Inc CurrentSince Dec 29, 2012 Accepting new patients
Nu-Crown, LLC Optometrist Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

1877 E Daily Dr
Ste D1
Camarillo, CA 93010

1821 E Daily Dr
Camarillo, CA 93010
Phone (888) 884-3805

321 N Larchmont Blvd
Ste 1050
Los Angeles, CA 90004
Phone (323) 466-7337

2796 Sycamore Dr
Ste 101
Simi Valley, CA 93065
Phone (805) 522-7955

4353 Park Terrace Dr
Ste 150
Westlake Vlg, CA 91361
Phone (805) 695-2462

Interoperability endpoints

  • Direct secure messaging: margitcraig@direct.eyecare-partners.com

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1124024294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 E DAILY DR",
            "address_2": "STE D-1",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106205",
            "telephone_number": "805-987-5300",
            "fax_number": "805-987-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR",
            "address_2": "STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-987-5300",
            "fax_number": "805-987-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MARGIT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004020414",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14355 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318344421",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.