Wendy Kathleen Crusberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

840 Issued in NH

Practice address

545 Hooksett Rd Unit 23
Manchester, NH 03104-2654

Phone

(603) 622-6333

Fax

(603) 627-4619

NPI assigned

Jul 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wendy Kathleen Farrell Former name

Medicare fee-for-service enrollment

Enrolled in NH

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

New England College of Optometry, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• See Your Best Eye Care PLLC

  • Optometrist
  • Manchester, NH
  • NPI 1417442948
  Medicare reassignment NPD Authorized official
• Jordan Family Eyecare Inc

  • Optometrist
  • Rochester, NH
  • NPI 1336148634
  NPD (past)

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1306159421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HOOKSETT RD",
            "address_2": "UNIT 23",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042654",
            "telephone_number": "603-622-6333",
            "fax_number": "603-627-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 HOOKSETT RD UNIT 23",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042654",
            "telephone_number": "603-622-6333",
            "fax_number": "603-627-4619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Central Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202577",
            "country_code": "US",
            "telephone_number": "603-343-1123",
            "fax_number": "603-343-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUSBERG",
        "first_name": "WENDY",
        "middle_name": "KATHLEEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30358259",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "FARRELL",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Croteau, LICSW
• Heather Crowell
• Sarah Louise Crowell, LCMHC
• David I Crowley, MD
• Heather Lorraine Crowley, M.D.
• Christopher Ignacio Cruz, M.D.
• Diamantina Lima Cruz, MA
• Nicole Cruz, MSN, APRN, FNP-C
• Jonvic Rom Castor Cua, APRN
• Cyrille P Cucio, M.D.

• Optometrist in Manchester, NH
• Providers in Manchester, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.