Individual provider Active NPI

David Lyle Cripe, O.D.

  • Optometrist
  • Goshen, IN
National Provider Identifier
1396720868
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1876 Issued in IN
Practice address
1722 Bashor Rd
Goshen, IN 46526-1302
Phone
(574) 533-4141
Fax
(574) 534-2278
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1876 IN Primary

Addresses

Primary practice location

1722 Bashor Rd
Goshen, IN 46526-1302

Mailing address

1722 Bashor Rd
Goshen, IN 46526-1302
Phone (574) 533-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111011000458 IN Practitioner - Optometry 6709847692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Cripe, Stephens and Stickel LLPGroup PAC ID 4981665874, 4 clinicians

Practice addresses (Care Compare)

1722 Bashor Rd
Goshen, IN 46526-1302
Phone (574) 533-4141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1876INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Cripe, Stephens & Stickel LLP Optometrist CurrentSince Sep 1, 1996 Accepting new patients

Locations

1722 Bashor Rd
Ofc
Goshen, IN 46526
Phone (219) 533-4141

1722 Bashor Rd
Goshen, IN 46526
Phone (219) 533-4141

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1396720868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 BASHOR RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261302",
            "telephone_number": "574-533-4141",
            "fax_number": "574-534-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 BASHOR RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261302",
            "telephone_number": "574-533-4141",
            "fax_number": "574-534-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPE",
        "first_name": "DAVID",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.