Active NPI
Crawford Eye Care
- Optometrist
- Ridgeland, MS
National Provider Identifier
1336459668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CRAWFORD EYE CARE
- Practice address
- 301 Northlake Ave
Ste 101
Ridgeland, MS 39157-1718 - Phone
- (601) 707-5255
- NPI assigned
- Oct 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karmen Crawford, O.D.
- Title
- Optometrist
- Phone
- (601) 416-8831
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
301 Northlake Ave
Ste 101
Ridgeland, MS 39157-1718
Mailing address
301 Northlake Ave
Ste 101
Ridgeland, MS 39157-1718
Phone (601) 707-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110223001023 | MS | Part B Supplier - Clinic/Group Practice | 8426239492 |
Receives reassigned benefits from 4 practitioners Practice locations: Ridgeland, MS |
National Provider Directory
National Provider DirectoryLocations
301 Northlake Ave
Ste 101
Ridgeland, MS 39157
Phone (601) 707-5255
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287532800000",
"number": "1336459668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 NORTHLAKE AVE",
"address_2": "STE 101",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571718",
"telephone_number": "601-707-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NORTHLAKE AVE",
"address_2": "STE 101",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571718",
"telephone_number": "601-707-5255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAWFORD EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "KARMEN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "601-416-8831",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.