Individual provider Active NPI

Adam Crawford, O.D.

  • Optometrist
  • Ridgeland, MS
National Provider Identifier
1154511152
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
789 Issued in MS
Practice address
301 Northlake Ave
Suite 101
Ridgeland, MS 39157-1718
Phone
(601) 707-5255
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 789 MS Primary

Addresses

Primary practice location

301 Northlake Ave
Suite 101
Ridgeland, MS 39157-1718

Mailing address

301 Northlake Ave
Suite 101
Ridgeland, MS 39157-1718
Phone (601) 707-5255

Other identifiers 1

IdentifierTypeStateIssuer
08576764MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080204000371 MS Practitioner - Optometry 0446332134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Eye CareGroup PAC ID 8426239492, 3 clinicians
Dr. Chuck Barnes, PAGroup PAC ID 7315007069, 3 clinicians

Practice addresses (Care Compare)

301 Northlake Ave
Suite 101
Ridgeland, MS 39157-1720
Phone (601) 707-5255

414 A Marion Ave
McComb, MS 39648-2710
Phone (601) 684-6241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Chuck Barnes, PA Optometrist CurrentSince Feb 12, 2025 Accepting new patients
Professional Eyecare Associates ,Inc Optometrist Past Accepting new patients
Madison Professional Eyecare Associates, Inc Optometrist Past Accepting new patients
Dr James C Hamilton PA Optometrist Past Accepting new patients
Professional Eyecare Associates of Yazoo City, PA Optometrist Past Accepting new patients

Locations

414A Marion Ave
McComb, MS 39648
Phone (601) 684-6241

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1154511152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTHLAKE AVE",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571718",
            "telephone_number": "601-707-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTHLAKE AVE",
            "address_2": "SUITE 101",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571718",
            "telephone_number": "601-707-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08576764",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.