Individual provider Active NPI

Ellen Pearman Crothers, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1285747956
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6206 TG Issued in TX
Practice address
13343 N Highway 183
Ste 260
Austin, TX 78750-7158
Phone
(512) 258-2120
NPI assigned
Aug 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6206 TG TX Primary

Addresses

Primary practice location

13343 N Highway 183
Ste 260
Austin, TX 78750-7158

Mailing address

13343 N US Highway 183
Ste 260
Austin, TX 78750-7160
Phone (512) 569-8886

Other identifiers 2

IdentifierTypeStateIssuer
6206-TGOtherTX6206 TG
81246QOtherTXBCBS NUMBER

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
I20050310000441 TX Practitioner - Optometry 1254385537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor Eye Center PAGroup PAC ID 7810941663, 2 clinicians

Practice addresses (Care Compare)

13343 N Hwy 183
Suite 215
Austin, TX 78750-7167
Phone (512) 258-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6206TXMDBehavioral Analyst
6206 TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Eye Center, P.a. Optometrist CurrentSince Dec 8, 2004 Accepting new patients

Locations

13343 N US Highway 183
Ste 215
Austin, TX 78750
Phone (512) 258-2120

13343 N US Highway 183
Ste 260
Austin, TX 78750
Phone (512) 258-2120

13343 N US Highway 183
Ste 360
Austin, TX 78750
Phone (512) 258-2120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285747956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13343 N US HIGHWAY 183",
            "address_2": "STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507160",
            "telephone_number": "512-569-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13343 N HIGHWAY 183",
            "address_2": "STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507158",
            "telephone_number": "512-258-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTHERS",
        "first_name": "ELLEN",
        "middle_name": "PEARMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6206 TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6206 TG",
            "identifier": "6206-TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "81246Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.