Active NPI
Adam Crawford, O.D.
- Optometrist
- Ridgeland, MS
National Provider Identifier
1154511152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08576764 | Medicaid | MS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CareDr. Chuck Barnes, PA
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Chuck Barnes, PA | Optometrist | Current | 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.
-
- Optometrist
- Yazoo City, MS
- NPI 1205975984
-
- Optometrist
- Madison, MS
- NPI 1144304460
-
- Optometrist
- Ridgeland, MS
- NPI 1497830020
-
- Optometrist
- Yazoo City, MS
- NPI 1184810525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.