Individual provider Active NPI

Robert D Crawford, OD

  • Optometrist
  • Brockton, MA
National Provider Identifier
1437130853
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3009 Issued in MA
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

Updated by the provider on Sep 20, 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 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

IdentifierTypeStateIssuer
0344761MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000265 MA Practitioner - Optometry 6305904509 Reassigns benefits to 2 organizations

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
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

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 100Reported as group
Quality
99.75
Improvement activities
40
Cost
77.68

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Oct 1, 2013 Accepting new patients
Center for Eye Health Inc Optometrist CurrentSince Oct 15, 2000 Accepting new patients
Center for Eye Health Inc CurrentSince Oct 15, 2000 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.