Individual provider Active NPI

Kenneth Crawford O.D. Inc., O.D.

  • Optometrist
  • West Chester, OH
National Provider Identifier
1295731552
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH4333 Issued in OH
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

Updated by the provider on Mar 10, 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 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

IdentifierTypeStateIssuer
09761OtherOHSPECTERA
16109OtherOHANTHEM
19512OtherOHCOLE
2201062OtherOHUHC
OH4333OtherOHEYEMED
5931OtherOHHUMANA
35573OtherOHDAVIS
360406OtherOHNVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000520 OH Practitioner - Optometry 3577670801 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OH4333OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kenneth Crawford, O.D. Inc. Optometrist CurrentSince Oct 1, 1997 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

Verify at the official NPI Registry.