Kevin Wallace Croft, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

19261 Issued in OK

Practice address

5389 N 1St Ave
Durant, OK 74701

Phone

(580) 924-5211

Fax

(580) 924-6351

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Creighton University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: texomaregionaleyecenter.kevincroft@125875.advancedmd-direct.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Ross Phillips, M.D.

  • Ophthalmology Physician
  • Durant, OK
  • NPI 1457619272
  Medicare reassignment
• Peter G Bako, OD

  • Optometrist
  • Texarkana, TX
  • NPI 1629590450

  OK

  Medicare reassignment

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.

• Texoma Regional Eye Institute, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Durant, OK
  • NPI 1255655726
  NPD Authorized official
• Bynum Eye Care P a

  • Optometrist
  • Whitesboro, TX
  • NPI 1235459660
  NPD (past)
• RGB Eye Associates,PA

  • Ophthalmology Physician
  • Sherman, TX
  • NPI 1508863994
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1245245059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012599",
            "telephone_number": "580-924-5211",
            "fax_number": "580-924-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "74701",
            "telephone_number": "580-924-5211",
            "fax_number": "580-924-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "KEVIN",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "19261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100040310C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Glen Cranford, DO
• Laura Creasman, LPN
• Crisis Control Center
• Debra Christine Crites
• Elton Riley Crofford
• Caitlyn Hope Cromer
• Jennifer Vanette Crouse, BA
• David Kyle Crowell
• Braulio Manny Cuesta, M.D.
• Jay W Cuesta, FNP-C

• Ophthalmology Physician in Durant, OK
• Providers in Durant, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.

Verify at the official NPI Registry.