Jessie Crabtree, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011235 Issued in IL

Practice address

1508 Sioux Dr
Marion, IL 62959-5200

Phone

(618) 993-8787

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

University of Missouri St Louis - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merriman Optometry, LTDGroup PAC ID 1951774686, 3 clinicians

Crabtree Family OptometryGroup PAC ID 6608995865, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessie.crabtree@direct.revolutionehr.com

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.

• Merriman Optometry, LTD

  • Optometrist
  • Anna, IL
  • NPI 1033826524

  IL, Optometrist

  Medicare reassignment Care Compare group NPD
• Crabtree Family Optometry

  • Corneal and Contact Management Optometrist
  • Marion, IL
  • NPI 1609072263

  IL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1669951380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11280 LIMB BRANCH LN",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596035",
            "telephone_number": "618-889-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SIOUX DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595200",
            "telephone_number": "618-993-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IL",
            "postal_code": "628811514",
            "country_code": "US",
            "telephone_number": "618-548-3506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483149",
            "country_code": "US",
            "telephone_number": "618-942-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "JESSIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cox
• Lynn Cozart
• Crab Orchard Counseling LLC
• Crab Orchard Cusd 3
• Crabtree Family Optometry
• Trevor Ray Crabtree, O.D.
• Craig W Furry
• Craig W. Furry
• Richard Neal Craig, AUD
• Melissa Fern Crane, LPN

• All providers in Marion, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.