Conner Richard Crumbliss, OD

Key facts

NPI

1740959592

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

2159 (KS)

Practice address

1602 W 15TH Ave
Emporia, KS 66801-9803

Phone

(620) 342-6989

NPI assigned

Sep 7, 2021

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• DRS Price Young Odle & Horsch PA Optometrist · Manhattan, KS · NPI 1396713574
  Medicare reassignment Care Compare group NPD KS · OPTOMETRIST
• Reynolds & Anliker Eye Physicians & Surgeons LLC Ophthalmology Physician · Emporia, KS · NPI 1255740676
  Medicare reassignment NPD KS
• DRS Price Young Odle & Horsch PA Optometrist · Junction City, KS · NPI 1811965015
  Care Compare group NPD OPTOMETRIST
• DRS Price Young Odle & Horsch PA Optometrist · Marysville, KS · NPI 1083682132
  Care Compare group
• DRS Price Young Odle & Horsch PA Optometrist · Hiawatha, KS · NPI 1245560838
  Care Compare group
• DRS Price Young Odle & Horsch PA Optometrist · Ottawa, KS · NPI 1427356203
  Care Compare group
• DRS Price Young Odle & Horsch PA Optometrist · Paola, KS · NPI 1558691048
  Care Compare group
• DRS Price Young Odle & Horsch PA Optometrist · Olathe, KS · NPI 1770948549
  Care Compare group
• DRS Price Young Odle & Horsch PA Optometrist · Topeka, KS · NPI 1164491189
  NPD OPTOMETRIST
• DRS Price Young Odle & Horsch PA Optometrist · Lawrence, KS · NPI 1235108101
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Price Young Odle and Horsch PA (28 clinicians)

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: conner.crumbliss.p4@direct.gvg.nextgenshare.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 26, 2022.

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1740959592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207293",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207293",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668019803",
            "telephone_number": "620-342-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 SW Gage Blvd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666043340",
            "country_code": "US",
            "telephone_number": "785-354-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 SW Wanamaker Rd Ste 192",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666144293",
            "country_code": "US",
            "telephone_number": "785-272-0707",
            "fax_number": "785-272-0575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Herington",
            "state": "KS",
            "postal_code": "674492402",
            "country_code": "US",
            "telephone_number": "785-258-2314",
            "fax_number": "785-258-3225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660672332",
            "country_code": "US",
            "telephone_number": "785-242-2020",
            "fax_number": "785-242-2335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 W 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668016102",
            "country_code": "US",
            "telephone_number": "620-342-7054",
            "fax_number": "620-342-8203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N 4th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KS",
            "postal_code": "668392618",
            "country_code": "US",
            "telephone_number": "620-364-2134",
            "fax_number": "620-364-5477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668014006",
            "country_code": "US",
            "telephone_number": "620-343-7120",
            "fax_number": "620-343-2038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 W Main St",
            "address_purpose": "LOCATION",
            "city": "Council Grove",
            "state": "KS",
            "postal_code": "668461706",
            "country_code": "US",
            "telephone_number": "620-412-4150",
            "fax_number": "620-412-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMBLISS",
        "first_name": "CONNER",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

• Lynn A Cramer, D.D.S.
• CRC Optometry LLC
• Katie Lyn Crook, LPC
• Kristi Lee Crosby, RN, BSN
• Cassandra Lee Crotts, DPT
• Jonathan Cruz
• Amanda J Cunningham, LMLP
• Michelle Cunningham
• Dalby-Wood Cares, LLC
• Kerri Ann Daniels, CPTA

All providers in Emporia, KS · Optometrist in Kansas