Russell James Crotty, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1399 Issued in NE

Practice address

922 Alden Dr
Auburn, NE 68305-3021

Phone

(402) 274-3218

Fax

(402) 274-4538

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Crotty and Crotty PCGroup PAC ID 8426197492, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

18.29 of 100Reported as individual

Quality

36.58

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.crotty@lifetimevision.eyefinity-direct.com

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.

• DRS Crotty & Crotty PC

  dba Lifetime Vision Center

  • Optometrist
  • Auburn, NE
  • NPI 1316088081
  Medicare reassignment Care Compare group NPD
• Omaha Eye & Laser Institute, Inc.

  dba Lincoln Eye & Laser Instittue

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1962213710

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1558703223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 ALDEN DR",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683053021",
            "telephone_number": "402-274-3218",
            "fax_number": "402-274-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 ALDEN DR",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683053021",
            "telephone_number": "402-274-3218",
            "fax_number": "402-274-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "RUSSELL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1399",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NE",
            "license": "1399",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NE",
            "license": "1399",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "1399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clark
• Julie Clark
• Conrad Dental P.C.
• Katrina Nichole Conrad, D.D.S.
• John William Crotty, O.D.
• Ana Medea Damme
• Eldona Samantha Daugherty
• April Noel Dickerson
• Laura Sue Dieckgrafe, RPH
• Gayla Sue Drown

• Optometrist in Auburn, NE
• Providers in Auburn, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.