Individual provider Active NPI

Debra S Croley, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1316047004
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1368DT Issued in KY
Practice address
110 Conn Ter Ste 550
Lexington, KY 40508-3206
Phone
(859) 323-5867
Fax
(859) 323-5867
NPI assigned
Sep 23, 2006
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1368DT KY Primary

Addresses

Primary practice location

110 Conn Ter Ste 550
Lexington, KY 40508-3206

Mailing address

130 Thompson Poynter Rd
Suite 1
London, KY 40741-7238
Phone (606) 878-2012

Other practice location 1

130 Thompson Poynter Rd
Suite 1
London, KY 40741-7238
Phone (606) 878-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1316047004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THOMPSON POYNTER RD",
            "address_2": "SUITE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417238",
            "telephone_number": "606-878-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CONN TER STE 550",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083206",
            "telephone_number": "859-323-5867",
            "fax_number": "859-323-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Thompson Poynter Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407417238",
            "country_code": "US",
            "telephone_number": "606-878-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROLEY",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1368DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.