Individual provider Active NPI

John Bruce Crane II, OD

  • Optometrist
  • Union, MO
National Provider Identifier
1144337437
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03010 Issued in MO
Practice address
1595 Denmark Rd
Union, MO 63084
Phone
(636) 584-8989
NPI assigned
Aug 24, 2006
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03010 MO Primary

Addresses

Primary practice location

1595 Denmark Rd
Union, MO 63084

Mailing address

1595 Denmark Rd
Union, MO 63084
Phone (636) 584-8989

Other identifiers 1

IdentifierTypeStateIssuer
1144337437MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20101007000468 MO Practitioner - Optometry 5395871404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Vision Care IncGroup PAC ID 4981737095, 4 clinicians

Practice addresses (Care Compare)

7954 Big Bend BVLD
Webster Eye Care
Webster Groves, MO 63119-2717
Phone (314) 962-7580

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West County Ophthalmology, Inc PastSince Dec 31, 1991 Accepting new patients
Mark D Peckham OD PC Optometrist Past Accepting new patients
Curators of the University of Missouri Past Accepting new patients
Eye & Vision Regeneration Group, P.C. Optometrist PastSince Sep 1, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCBEAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1144337437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 DENMARK RD",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-584-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 DENMARK RD",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-584-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "JOHN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144337437",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MO

Sources for this page

Verify at the official NPI Registry.