Individual provider Active NPI

Michael C Crutchfield, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1740330190
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
181 Issued in NV
Practice address
8230 W Sahara Ave Ste 121
Las Vegas, NV 89117-8930
Phone
(702) 944-2001
Fax
(702) 947-0474
NPI assigned
Jan 10, 2007
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 181 NV Primary

Addresses

Primary practice location

8230 W Sahara Ave Ste 121
Las Vegas, NV 89117-8930

Mailing address

8230 W Sahara Ave
Suite 121
Las Vegas, NV 89117-8959
Phone (702) 944-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20041007000663 NV Practitioner - Optometry 5092601229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pritchett Eye Care PCGroup PAC ID 1052390655, 29 clinicians

Practice addresses (Care Compare)

10870 W Charleston Blvd
Suite 105
Las Vegas, NV 89135-1159
Phone (702) 877-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
181NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Clearvision Eye Center Optometrist Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients

Locations

1627 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 294-2227

143 S Water St
Henderson, NV 89015
Phone (702) 944-9446

10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937

4485 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 737-0097

8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001

1601 E Basin Ave
Ste 101
Pahrump, NV 89060
Phone (775) 751-1791

831 Keystone Ave
Reno, NV 89503
Phone (702) 746-2020

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

Organizations & group practices 9

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1740330190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 W SAHARA AVE",
            "address_2": "SUITE 121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178959",
            "telephone_number": "702-944-2001",
            "fax_number": "702-947-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 W SAHARA AVE STE 121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178930",
            "telephone_number": "702-944-2001",
            "fax_number": "702-947-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.