Active NPI
Robert D Crawford, OD
- Optometrist
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3009
- Practice address
- 110 Liberty St
Brockton, MA 02301-5521 - Phone
- (508) 894-0400
- Fax
- (508) 565-0157
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 3009 | MA | Primary |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301-5521
Mailing address
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0344761 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
178 Quincy Ave
Brockton, MA 02302-2803
Phone (508) 586-7400
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 99.75
- Improvement activities
- 40
- Cost
- 77.68
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 70.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Current | Accepting new patients | |
| Center for Eye Health Inc | Optometrist | Current | Accepting new patients |
| Center for Eye Health Inc | Current | Accepting new patients | |
| Brockton Hospital, Inc. | Past | Accepting new patients |
Locations
1 Pearl St
Brockton, MA 02301
Phone (508) 586-3600
110 Liberty St
Brockton, MA 02301
179 Quincy St
Ste 3
Brockton, MA 02302
Phone (508) 565-3252
1 Pearl St
Ste 1100
Brockton, MA 02301
Phone (508) 584-2100
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
178 Quincy Ave
Brockton, MA 02302
Phone (508) 584-8580
179 Quincy St
Brockton, MA 02302
Phone (508) 427-7700
1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427
1215 Broadway
Fl 2
Raynham, MA 02767
1215 Broadway
Raynham, MA 02767
Phone (508) 828-3967
Interoperability endpoints
- robert.crawford@direct.signature.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Ophthalmology Physician
- Brockton, MA
- NPI 1902911563
-
- Community/Retail Pharmacy
- East Bridgewater, MA
- NPI 1033084462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1437130853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015521",
"telephone_number": "508-894-0400",
"fax_number": "508-565-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015521",
"telephone_number": "508-894-0400",
"fax_number": "508-565-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0344761",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.