Individual provider Active NPI

Craig D Crouch, O.D.

  • Optometrist
  • Storm Lake, IA
National Provider Identifier
1336123355
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1949 Issued in IA
Practice address
600 Ontario St
Storm Lake, IA 50588-1845
Phone
(712) 732-3233
Fax
(712) 732-1866
NPI assigned
Dec 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1949 IA Primary

Addresses

Primary practice location

600 Ontario St
Storm Lake, IA 50588-1845

Mailing address

804 Prairie LN
Storm Lake, IA 50588-7597
Phone (712) 732-7052

Other identifiers 1

IdentifierTypeStateIssuer
0078212MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100721000107 IA Practitioner - Optometry 5395877781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1949IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Associates PC Optometrist CurrentSince Oct 1, 1991 Accepting new patients

Locations

600 Ontario St
Storm Lake, IA 50588
Phone (712) 239-3937

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336123355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PRAIRIE LN",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505887597",
            "telephone_number": "712-732-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ONTARIO ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881845",
            "telephone_number": "712-732-3233",
            "fax_number": "712-732-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "CRAIG",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078212",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.