Earl Russell Crouch III, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101236715 Issued in VA

Practice address

4665 South Blvd
Virginia Beach, VA 23452-1055

Phone

(757) 461-0050

Fax

(757) 461-4538

NPI assigned

Oct 12, 2006

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Eastern Virginia Medical School, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Earl R Crouch Jr MD Facs PCGroup PAC ID 9032180609, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earl R Crouch Jr MD Facs PC

  dba Virginia Pediatric Eye Center

  • Ophthalmology Physician
  • Virginia Beach, VA
  • NPI 1346392248
  Medicare reassignment Care Compare group NPD Authorized official
• Chesapeake Eye Physicians, PLC

  dba Chesapeake Eye Care and Laser Center

  • Ophthalmology Physician
  • Chesapeake, VA
  • NPI 1831288257
  NPD (past)
• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sentara Hospitals

  dba Sentara Leigh Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1811957681
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1376632075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SOUTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521055",
            "telephone_number": "757-461-0050",
            "fax_number": "757-461-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SOUTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521055",
            "telephone_number": "757-461-0050",
            "fax_number": "757-461-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "EARL",
        "middle_name": "RUSSELL",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101236715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079543",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailey Crosen
• Courtney Cross, PSYD, NCSP
• Sara Cross, CCC-SLP
• Louis J Croteau, MD
• Doris H Crouch, RN BSN
• James J Crouch, MD
• Jennifer Logan Crouch
• Stephanie Crouch
• Jackson Crouse
• Kristie Crow, LCSW

• Ophthalmology Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.