Madison Vision Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

663 Issued in SD

Legal business name

MADISON VISION CLINIC, INC.

Practice address

411 SE 10TH St
Madison, SD 57042-3567

Phone

(605) 256-2020

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Nicole Crabtree, ODNPI 1104055904

Title

Optometrist

Phone

(605) 256-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley N Crabtree, O.D.

  • Optometrist
  • Madison, SD
  • NPI 1104055904
  Medicare reassignment NPD Authorized official
• Judson J Bergan, OD

  • Optometrist
  • Madison, SD
  • NPI 1710976378
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1174894356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SE 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423567",
            "telephone_number": "605-256-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SE 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423567",
            "telephone_number": "605-256-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON VISION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-256-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Community Hospital (d/b/a Madison Regional Health System)
• Madison Family Dental
• Madison Family Dental Prof LLC
• Madison Physical Therapy
• Madison Vision Clinic
• Angela Meinen, LPC, QMHP
• Andrew Menigoz, DPT
• Kirsti Hasleton Meyer
• Michael S Brooke (Eyecare Center of Madison)
• Holly Jo Molascon, M.A., CCC-SLP

• Optometrist in Madison, SD
• Providers in Madison, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.