Scott Allen Craig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12252 TPL Issued in CA

Practice address

234 E 17TH St
Suite 110
Costa Mesa, CA 92627-3825

Phone

(949) 548-1631

Fax

(949) 548-6430

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Visionworks, Inc.

  • Optometrist
  • Salt Lake City, UT
  • NPI 1649203381

  UT

  Medicare reassignment

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811037872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 FULLERTON AVE APT 51",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277120",
            "telephone_number": "949-645-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 17TH ST",
            "address_2": "SUITE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273825",
            "telephone_number": "949-548-1631",
            "fax_number": "949-548-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12252 TPL",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cpa Provider Group Inc.
• Mary Joy Buan Crabajales
• Lisa Craft
• Blancarosa Teresita Craig, MFT
• Ronald Verden Craig, O.D.
• Emily Cramblit
• Dennis Michael Cramer, PHYSICIAN ASSISTANT
• Julia Lorene Cramer, LMFT
• Alexandra Crane, LM, CPM
• Cameron Craver, PT, DPT

• All providers in Costa Mesa, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.