Individual provider Active NPI

Courtney Nicole Crowell, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1295468866
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10599 Issued in TX
Practice address
655 Taylor St
Fort Worth, TX 76102-4821
Phone
(817) 289-6800
Fax
(817) 289-6825
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10599 TX Primary

Addresses

Primary practice location

655 Taylor St
Fort Worth, TX 76102-4821

Mailing address

655 Taylor St
Fort Worth, TX 76102-4821
Phone (817) 289-6800

Other practice location 1

2525 Lucas Dr Bldg 3
Dallas, TX 75219-1804
Phone (214) 528-7354

Other identifiers 1

IdentifierTypeStateIssuer
10599OtherTXTEXAS LICENSING BOARD

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
I20220718003215 TX Practitioner - Optometry 9638550932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mueller Ophthalmology PLLCGroup PAC ID 1557716735, 2 clinicians

Practice addresses (Care Compare)

4000 Bryant Irvin Rd
Suite 216
Fort Worth, TX 76109-4153
Phone (682) 267-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10599TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Mueller Ophthalmology PLLC CurrentSince May 1, 2025 Accepting new patients
University of Houston System Optometrist CurrentSince Jun 30, 2022 Accepting new patients
University of Houston CurrentSince Jun 30, 2022 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
Focusing on Eye Care, Inc. Optometrist CurrentSince Sep 8, 2022 Accepting new patients
Alliance Retina of Texas, PLLC PastSince Aug 1, 2023 Accepting new patients

Locations

2525 Lucas Dr
Bldg 3
Dallas, TX 75219
Phone (214) 528-7354

2301 Porter Creek Dr
Ste 217
Fort Worth, TX 76177
Phone (817) 847-7580

4000 Bryant Irvin Rd
Ste 216
Fort Worth, TX 76109
Phone (682) 267-2020

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

Interoperability endpoints

  • Direct secure messaging: ccrowell@mueller.intellechartdirect.net

Organizations & group practices 6

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1295468866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 TAYLOR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024821",
            "telephone_number": "817-289-6800",
            "fax_number": "817-289-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 TAYLOR ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024821",
            "telephone_number": "817-289-6800",
            "fax_number": "817-289-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Lucas Dr Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752191804",
            "country_code": "US",
            "telephone_number": "214-528-7354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSING BOARD",
            "identifier": "10599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.