Crabtree Family Optometry

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

046-008310 Issued in IL

Legal business name

CRABTREE FAMILY OPTOMETRY

Practice address

1508 Sioux Dr
Marion, IL 62959-5209

Phone

(618) 993-8787

Fax

(618) 997-6547

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Trevor Ray Crabtree, O.D.NPI 1770575284

Title

Doctor of Optometry/ Owner/ Partner

Phone

(618) 993-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Crabtree and Merriman Optometry Doing business as
• Jacobs & Crabtree Dctrs of Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trevor Ray Crabtree, O.D.

  • Optometrist
  • Marion, IL
  • NPI 1770575284

  IL

  Medicare reassignment Care Compare group Authorized official
• Jessie Crabtree, OD

  • Optometrist
  • Marion, IL
  • NPI 1669951380

  IL

  Medicare reassignment Care Compare group
• Paul Christopher Jacobs, O.D.

  • Corneal and Contact Management Optometrist
  • Carbondale, IL
  • NPI 1255326500

  IL

  Medicare reassignment
• Celisha Ann Merriman, O.D

  • Optometrist
  • Anna, IL
  • NPI 1841632874

  IL

  Medicare reassignment

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1609072263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 SIOUX DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595209",
            "telephone_number": "618-993-8787",
            "fax_number": "618-997-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SIOUX DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595209",
            "telephone_number": "618-993-8787",
            "fax_number": "618-997-6547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Transcraft Dr",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "IL",
            "postal_code": "629062114",
            "country_code": "US",
            "telephone_number": "618-833-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRABTREE FAMILY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY/ OWNER/ PARTNER",
        "authorized_official_telephone_number": "618-993-8787",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-008310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA -  RAILROAD MEDICARE",
            "identifier": "A410048440",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crabtree and Merriman Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacobs & Crabtree Dctrs of Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacobs & Crabtree Dctrs of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Cox, DMD
• Danielle Cox
• Lynn Cozart
• Crab Orchard Counseling LLC
• Crab Orchard Cusd 3
• Jessie Crabtree, OD
• Trevor Ray Crabtree, O.D.
• Craig W Furry
• Craig W. Furry
• Richard Neal Craig, AUD

• All providers in Marion, IL
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.