Individual provider Active NPI

Craig L. Murcray, O.D.

  • Optometrist
  • St Johnsville, NY
National Provider Identifier
1821031360
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003772 Issued in NY
Practice address
35 W Main St
St Johnsville, NY 13452-1225
Phone
(518) 568-2886
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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 003772 NY Primary

Addresses

Primary practice location

35 W Main St
St Johnsville, NY 13452-1225

Mailing address

PO Box 87
St Johnsville, NY 13452-0087
Phone (518) 568-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071029000494 NY Practitioner - Optometry 8527155191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

793 Route 50
Burnt Hills, NY 12027-0209
Phone (518) 399-6130

PO Box
Suite 209
Burnt Hills, NY 12027-0209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003772NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Burnt Hills Optical, Inc CurrentSince May 9, 2009 Accepting new patients
Jeanette L. Bergstrom Dba Burnt Hills Optical Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1821031360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "ST JOHNSVILLE",
            "state": "NY",
            "postal_code": "134520087",
            "telephone_number": "518-568-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "city": "ST JOHNSVILLE",
            "state": "NY",
            "postal_code": "134521225",
            "telephone_number": "518-568-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCRAY",
        "first_name": "CRAIG",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsville, NY

Sources for this page

Verify at the official NPI Registry.