Stuart P Creson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1218 Issued in SC

Practice address

1451 Woodruff Rd
Greenville, SC 29607

Phone

(864) 214-1834

Fax

(864) 214-1824

NPI assigned

Jul 6, 2006

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Pennsylvania College of Optometry, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stuart P. Creson Inc

  • Optometrist
  • Surfside Beach, SC
  • NPI 1659517175
  NPD (past) Authorized official
• Allouch Optometry

  • Optometrist
  • Georgetown, SC
  • NPI 1063629954
  NPD (past)
• Harrington Vision Center Inc II

  • Optometrist
  • Florence, SC
  • NPI 1306890231
  NPD (past)
• Enchanted Mountain Optometry,PLLC

  dba Enchanted Mountain Eyecare

  • Eyewear Supplier
  • Olean, NY
  • NPI 1013294685
  NPD (past)
• Olean Optical Labs

  dba Morgan Optical

  • Durable Medical Equipment & Medical Supplies
  • Olean, NY
  • NPI 1073771325
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1730110537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-214-1834",
            "fax_number": "864-214-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-214-1834",
            "fax_number": "864-214-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESON",
        "first_name": "STUART",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "01218",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12190",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Grubbs Creasy, LMSW
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• Scott James Creel, MD
• Matthew Nicholas Cregan, DPT
• Madalyn Patricia Cregg, DPT
• Crew Case Management and Consulting Services South LLC
• Jason Crews
• Caranda Cribb, OTR/L
• Haley Elizabeth Cribb
• Elizabeth Rhew Cribbs, FNP-C

• Optometrist in Greenville, SC
• Providers in Greenville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.