Individual provider Active NPI

Jason Avery Crawford, O.D.

  • Optometrist
  • Huntersville, NC
National Provider Identifier
1124148002
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2024 Issued in NC
Practice address
9710 Sam Furr Rd Unit a
Huntersville, NC 28078-4928
Phone
(704) 896-2118
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2024 NC Primary

Addresses

Primary practice location

9710 Sam Furr Rd Unit a
Huntersville, NC 28078-4928

Mailing address

9710 Sam Furr Rd Unit a
Huntersville, NC 28078-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081122000172 NC Practitioner - Optometry 3274549472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9710 Sam Furr Rd
A
Huntersville, NC 28078-4928
Phone (704) 896-2118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Crawford, O.D., PA CurrentSince Sep 20, 2007 Accepting new patients

Locations

9710 Sam Furr Rd
Unit A
Huntersville, NC 28078
Phone (704) 896-2118

Organizations & group practices 1

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1124148002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-896-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JASON",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.