Individual provider Active NPI

John W Crofts, MD

  • Ophthalmology Physician
  • Lockport, NY
National Provider Identifier
1497770580
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
182112 Issued in NY
Practice address
23 Elizabeth Dr
Lockport, NY 14094-5226
Phone
(585) 343-8100
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 182112 NY Primary

Addresses

Primary practice location

23 Elizabeth Dr
Lockport, NY 14094-5226

Mailing address

150 Washington Ave
Batavia, NY 14020-2113
Phone (585) 343-8100

Other identifiers 1

IdentifierTypeStateIssuer
01193493MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000370 NY Practitioner - Ophthalmology 7810946118 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY; Lockport, NY; Youngstown, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Washington Ave
Batavia, NY 14020-2113

4763 Main St
Buffalo, NY 14226-4019
Phone (585) 343-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
182112NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John W Crofts MD PLLC Ophthalmology CurrentSince Jan 1, 2005 Accepting new patients
Charles J Fetterman MD PC Ophthalmology PastSince Jul 8, 2002 Accepting new patients
Michael Lahood MD PC Ophthalmology PastSince Sep 1, 1994 Accepting new patients

Locations

229 Summit St
Batavia, NY 14020
Phone (585) 343-4555

150 Washington Ave
Batavia, NY 14020
Phone (585) 343-8100

229 Summit St
Ste 9
Batavia, NY 14020
Phone (585) 343-3205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1497770580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202113",
            "telephone_number": "585-343-8100",
            "fax_number": "585-815-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ELIZABETH DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945226",
            "telephone_number": "585-343-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFTS",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "182112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01193493",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.