Organization Active NPI

Benjamin Crawford LLC

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1134530835
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
309 Issued in AK
Legal business name
BENJAMIN CRAWFORD LLC
Practice address
207 E Northern Lights Blvd
Suite 101
Anchorage, AK 99503-2731
Phone
(907) 272-9800
Fax
(907) 277-1398
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Ms. Michelle J Murrills
Title
Administrator
Phone
(907) 272-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 309 AK Primary

Addresses

Primary practice location

207 E Northern Lights Blvd
Suite 101
Anchorage, AK 99503-2731

Mailing address

207 E Northern Lights Blvd
Suite 101
Anchorage, AK 99503-2731
Phone (907) 272-9800

Other names 1

  • Accurate Vision Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141206000374 AK Part B Supplier - Clinic/Group Practice 9931421765 Receives reassigned benefits from 2 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3401 Minnesota Dr
Ste 200
Anchorage, AK 99503
Phone (907) 272-9800

207 E Northern Lights Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 222-9905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1134530835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032731",
            "telephone_number": "907-272-9800",
            "fax_number": "907-277-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032731",
            "telephone_number": "907-272-9800",
            "fax_number": "907-277-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN CRAWFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "MURRILLS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-272-9800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accurate Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.