NPIMap

Individual provider Active NPI

Crandall Evan Peeler, M.D.

  • Ophthalmology Physician
  • Taunton, MA
National Provider Identifier
1548584246
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
257854 Issued in MA
Practice address
2005 Bay St Ste 206
Taunton, MA 02780
Phone
(508) 823-7473
Fax
(508) 824-3830
NPI assigned
Mar 24, 2010
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 257854 MA Primary
Neuro-ophthalmology Physician 207WX0109X 257854 MA

Addresses

Primary practice location

2005 Bay St Ste 206
Taunton, MA 02780

Mailing address

2005 Bay St Ste 206
Taunton, MA 02780-1085
Phone (508) 823-7473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623002388 MA Practitioner - Ophthalmology 9436373941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

2005 Bay St
Suite 206
Taunton, MA 02780-1085
Phone (508) 823-7473

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257854MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Aug 10, 2015 Accepting new patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Aug 10, 2015 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Aug 10, 2015 Accepting new patients
Massachusetts Eye and Ear Infirmary PastSince May 1, 2020 Accepting new patients

Locations

850 Harrison Ave
#2
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

2005 Bay St
Ste 201
Taunton, MA 02780
Phone (508) 822-2266

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

Interoperability endpoints

  • Direct secure messaging: cpeeler88282@direct.bmc.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1548584246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BAY ST STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-823-7473",
            "fax_number": "508-824-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BAY ST STE 206",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-823-7473",
            "fax_number": "508-824-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELER",
        "first_name": "CRANDALL",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "257854",
            "primary": true
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "MA",
            "license": "257854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.