Individual provider Active NPI

Madison Crowe, OD

  • Optometrist
  • Sanatoga, PA
National Provider Identifier
1407562465
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003975 Issued in PA
Practice address
1100 Heritage Dr
Sanatoga, PA 19464-9216
Phone
(610) 326-2754
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003975 PA Primary

Addresses

Primary practice location

1100 Heritage Dr
Sanatoga, PA 19464-9216

Mailing address

1100 Heritage Dr
Sanatoga, PA 19464-9216
Phone (610) 326-6456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230425000044 PA Practitioner - Optometry 3375908452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2012 Bridge Rd
skippack, PA 19474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003975PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Path Vision of Pottstown LLC Optometrist CurrentSince Apr 12, 2023 Accepting new patients
Skippack Vision Optometrist PastSince Sep 5, 2023 Accepting new patients

Locations

1100 Heritage Dr
Sanatoga, PA 19464
Phone (610) 326-2754

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

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1407562465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-326-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-326-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "MADISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanatoga, PA

Sources for this page

Verify at the official NPI Registry.