Conner Richard Crumbliss, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2159 Issued in KS

Practice address

1602 W 15TH Ave
Emporia, KS 66801-9803

Phone

(620) 342-6989

NPI assigned

Sep 7, 2021

Last updated

May 26, 2022By the provider in NPPES

Sex

Male

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 KS

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Price Young Odle and Horsch PAGroup PAC ID 2062494420, 28 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Manhattan, KS
  • NPI 1396713574
  Medicare reassignment Care Compare group NPD
• Reynolds & Anliker Eye Physicians & Surgeons LLC

  • Ophthalmology Physician
  • Emporia, KS
  • NPI 1255740676
  Medicare reassignment NPD
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Topeka, KS
  • NPI 1164491189
  NPD
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Junction City, KS
  • NPI 1811965015
  NPD
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Lawrence, KS
  • NPI 1235108101
  NPD (past)

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

{
    "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": []
}

• 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

• Optometrist in Emporia, KS
• Providers in Emporia, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.