Individual provider Active NPI

Luke Crader, O.D.

  • Optometrist
  • Denton, TX
National Provider Identifier
1174070320
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9099T Issued in TX
Practice address
2430 S I 35 E Ste 156
Denton, TX 76205-4989
Phone
(940) 484-8857
NPI assigned
Sep 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9099T TX Primary

Addresses

Primary practice location

2430 S I 35 E Ste 156
Denton, TX 76205-4989

Mailing address

2430 S I 35 E Ste 156
Denton, TX 76205-4989
Phone (940) 484-8857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161021000465 TX Practitioner - Optometry 2062790322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2430 S I 35
Suite 156
Denton, TX 76205-4989
Phone (940) 484-8857

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9099TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nto Denton, PLLC Optometrist CurrentSince Sep 12, 2016 Accepting new patients

Locations

2430 S Interstate 35 E
Ste 156
Denton, TX 76205
Phone (940) 484-8857

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1174070320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 S I 35 E STE 156",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054989",
            "telephone_number": "940-484-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S I 35 E STE 156",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054989",
            "telephone_number": "940-484-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADER",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9099T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.