Individual provider Active NPI

Daniel Charles Crawford, O.D.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1609903418
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8333TG Issued in TX
Practice address
1240 Lomaland Dr
El Paso, TX 79907-1405
Phone
(915) 591-4441
Fax
(915) 591-0142
NPI assigned
Feb 27, 2007
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8333TG TX Primary

Addresses

Primary practice location

1240 Lomaland Dr
El Paso, TX 79907-1405

Mailing address

1240 Lomaland Dr
El Paso, TX 79907-1405
Phone (915) 591-4441

Other identifiers 1

IdentifierTypeStateIssuer
335689101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140603001594 TX Practitioner - Optometry 6002002847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David S. Doka M.D. P.a.Group PAC ID 7113091844, 5 clinicians

Practice addresses (Care Compare)

1240 Lomaland Dr
El Paso, TX 79907-1405
Phone (915) 591-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8333TXMDGeneral Practice Dentistry
8333TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David S. Doka M.D. P.a. Optometrist CurrentSince May 1, 2014 Accepting new patients
David S. Doka M.D. P.a. CurrentSince May 1, 2014 Accepting new patients
I Care Vision Centers, PC Optometrist Past Accepting new patients
I Care Vision Centers,PC Optometrist PastSince Mar 17, 1994 Accepting new patients

Locations

1240 Lomaland Dr
El Paso, TX 79907
Phone (915) 591-4441

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1609903418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071405",
            "telephone_number": "915-591-4441",
            "fax_number": "915-591-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071405",
            "telephone_number": "915-591-4441",
            "fax_number": "915-591-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DANIEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8333TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335689101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.