Charles Mikel Craig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003759 Issued in IN

Practice address

220 N. Ironwood Dr.
South Bend, IN 46615

Phone

(574) 289-3937

Fax

(574) 280-7355

NPI assigned

Aug 18, 2010

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Eye Consultants, P.C.

  dba Cataract & Laser Institute

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #25

  • Optometrist
  • Kokomo, IN
  • NPI 1003879628
  NPD
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #12

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #35

  • Optometrist
  • Chesterton, IN
  • NPI 1023066784
  NPD (past)
• Dr. Maria J. Fragoulis, Inc

  • Optometrist
  • Lewis Center, OH
  • NPI 1679700389
  NPD (past)
• Fries Eye Care, LLC

  dba Optique Family Vision Care

  • Optometrist
  • Washington Court House, OH
  • NPI 1407141906
  NPD (past)
• Optometric Management Group LLC

  dba Eye Care Professionals of Powell

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1275848962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921613",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N. IRONWOOD DR.",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46615",
            "telephone_number": "574-289-3937",
            "fax_number": "574-280-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CHARLES",
        "middle_name": "MIKEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5936",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201086990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macall Jeanne Cox, DO
• Rosemary Cox, LCSW
• Julie Coyle, MD
• Cozynest Homehealth LLC
• Leah Diane Craft, M.D.
• Aoko Doris Crain, M.D.
• Vickie Craker, RD,CSP,CD
• Creative Health Care Management LLC (Vertis Therapy)
• Robert G. Credi, MD
• Anton J Crepinsek Jr., MD

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.