Individual provider Active NPI

Theresa Crowley, OD

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1386204162
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2019019259 Issued in MO
Practice address
8600 Ward Pkwy Ste 710
Kansas City, MO 64114-2614
Phone
(816) 523-8882
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2019019259 MO Primary

Addresses

Primary practice location

8600 Ward Pkwy Ste 710
Kansas City, MO 64114-2614

Mailing address

3549 Golden Belt Rd
Odessa, MO 64076-6489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190821003024 MO Practitioner - Optometry 6709114283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bray Shepherd Eye Care PCGroup PAC ID 2264747534, 2 clinicians

Practice addresses (Care Compare)

16637 E 23Rd St S
Independence Family Eye Care
Independence, MO 64055-1922
Phone (816) 461-6880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Jul 13, 2019 Accepting new patients
Bray Shepherd Eye Care PC Optometrist CurrentSince Jul 5, 2023 Accepting new patients
Visionworks, Inc CurrentSince Jul 13, 2019 Accepting new patients

Locations

16637 E 23rd St S
Independence, MO 64055
Phone (816) 461-6880

8600 Ward Pkwy
Ste 710
Kansas City, MO 64114
Phone (816) 523-8882

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1386204162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 GOLDEN BELT RD",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640766489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WARD PKWY STE 710",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142614",
            "telephone_number": "816-523-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019019259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.