Individual provider Active NPI

Laura F Crowe, OD

  • Optometrist
  • Bartlett, TN
National Provider Identifier
1790710226
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T1245 Issued in TN
Practice address
6600 Stage Rd
Suite 144
Bartlett, TN 38134-3838
Phone
(901) 377-9588
Fax
(301) 377-9968
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T1245 TN Primary

Addresses

Primary practice location

6600 Stage Rd
Suite 144
Bartlett, TN 38134-3838

Mailing address

6600 Stage Rd
Suite 144
Bartlett, TN 38134-2866
Phone (901) 377-9588

Other identifiers 2

IdentifierTypeStateIssuer
176841OtherBCBS
3597293MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090812000942 TN Practitioner - Optometry 2567516347 Practice locations: Bartlett, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3114 Kirby Whitten Rd
Bartlett Vision Clinic
Bartlett, TN 38134-2820
Phone (901) 377-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1245GAMDProfessional Counselor
1245TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1790710226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 STAGE RD",
            "address_2": "SUITE 144",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342866",
            "telephone_number": "901-377-9588",
            "fax_number": "301-377-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 STAGE RD",
            "address_2": "SUITE 144",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343838",
            "telephone_number": "901-377-9588",
            "fax_number": "301-377-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "LAURA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "176841",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3597293",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.