Individual provider Active NPI

Crystal Stone Oliver, O.D.

  • Optometrist
  • Henderson, KY
National Provider Identifier
1437535648
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005DT Issued in KY
Practice address
231 2ND St Ste 102
Henderson, KY 42420-3137
Phone
(270) 826-1500
NPI assigned
Aug 11, 2015
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005DT KY Primary

Addresses

Primary practice location

231 2ND St Ste 102
Henderson, KY 42420-3137

Mailing address

231 2ND St Ste 102
Henderson, KY 42420-3137
Phone (270) 826-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160108002369 KY Practitioner - Optometry 8527360411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal S Oliver OD PLLCGroup PAC ID 3678833803, 2 clinicians
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Suite 102
Henderson, KY 42420-2776
Phone (270) 826-1500

3910 Hinkleville Rd
Paducah, KY 42001-9017
Phone (270) 443-2090

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal S Oliver OD PLLC Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Dr. Gregory B. Hagedorn, OD Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Tri-State Doctors of Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

1413 N Elm St
Ste 102
Henderson, KY 42420
Phone (270) 826-1500

231 2nd St
Henderson, KY 42420
Phone (270) 826-1500

231 2nd St
Ste 102
Henderson, KY 42420
Phone (270) 826-1500

104 S Court St
Morganfield, KY 42437
Phone (270) 389-2021

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1437535648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 2ND ST STE 102",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203137",
            "telephone_number": "270-826-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 2ND ST STE 102",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203137",
            "telephone_number": "270-826-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "CRYSTAL",
        "middle_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2005DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.