Active NPI
Kenneth Crawford O.D. Inc., O.D.
- Optometrist
- West Chester, OH
National Provider Identifier
1295731552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH4333
- Practice address
- 7793 Joan Dr
West Chester, OH 45069-3682 - Phone
- (513) 755-7775
- Fax
- (513) 755-7773
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH4333 | OH | Primary |
Addresses
Primary practice location
7793 Joan Dr
West Chester, OH 45069-3682
Mailing address
7793 Joan Dr
West Chester, OH 45069-3682
Phone (513) 755-7775
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09761 | Other | OH | SPECTERA |
| 16109 | Other | OH | ANTHEM |
| 19512 | Other | OH | COLE |
| 2201062 | Other | OH | UHC |
| OH4333 | Other | OH | EYEMED |
| 5931 | Other | OH | HUMANA |
| 35573 | Other | OH | DAVIS |
| 360406 | Other | OH | NVA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7793 Joan Dr
West Chester, OH 45069-3682
Phone (513) 755-7775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH4333 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Kenneth Crawford, O.D. Inc. | Optometrist | Current | Accepting new patients |
Locations
7793 Joan Dr
West Chester, OH 45069
Phone (513) 755-7775
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1295731552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7793 JOAN DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693682",
"telephone_number": "513-755-7775",
"fax_number": "513-755-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7793 JOAN DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693682",
"telephone_number": "513-755-7775",
"fax_number": "513-755-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD O.D. INC.",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH4333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "09761",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "16109",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE",
"identifier": "19512",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2201062",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OH4333",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "5931",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "35573",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "360406",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.