Active NPI
Darren Crissler, OD
- Optometrist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 810
- Practice address
- 3402 13TH Ave S
Fargo, ND 58103-6324 - Phone
- (701) 234-0939
- Fax
- (701) 234-9442
- NPI assigned
- Jul 5, 2023
- Last updated
- Jul 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 810 | ND | Primary |
Addresses
Primary practice location
3402 13TH Ave S
Fargo, ND 58103-6324
Mailing address
3402 13TH Ave S
Fargo, ND 58103-6324
Other practice location 1
3120 25th St S Ste X
Fargo, ND 58103-6110
Phone (701) 234-9768
Other practice location 2
635 32nd Ave E Ste 136
West Fargo, ND 58078-7116
Phone (701) 850-8710
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810 | ND | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3-D Optical Inc | Optometrist | Current | Accepting new patients |
| I C 20 20 Eau Claire Inc | Optometrist | Past | Accepting new patients |
Locations
3120 25th St SW
Ste X
Fargo, ND 58103
Phone (701) 234-9768
3402 13th Ave S
Fargo, ND 58103
Phone (701) 234-0939
635 32nd Ave E
Ste 136
West Fargo, ND 58078
Phone (701) 850-8710
Organizations & group practices 2
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.
-
dba Sterling Optical
- Eyewear Supplier
- Eau Claire, WI
- NPI 1487710539
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1376221903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 13TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 13TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036324",
"telephone_number": "701-234-0939",
"fax_number": "701-234-9442"
}
],
"practiceLocations": [
{
"address_1": "3120 25th St S Ste X",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036110",
"country_code": "US",
"telephone_number": "701-234-9768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "635 32nd Ave E Ste 136",
"address_purpose": "LOCATION",
"city": "West Fargo",
"state": "ND",
"postal_code": "580787116",
"country_code": "US",
"telephone_number": "701-850-8710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISSLER",
"first_name": "DARREN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.