Active NPI
Craig T. Eckroth, O.D.
- Optometrist
- Craig, CO
National Provider Identifier
1821142332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1589
- Practice address
- 1111 W Victory Way
Suite 110
Craig, CO 81625-2950 - Phone
- (970) 824-3488
- Fax
- (970) 824-8132
- NPI assigned
- Jan 22, 2007
- Last updated
- Sep 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1589 | CO | Primary |
Addresses
Primary practice location
1111 W Victory Way
Suite 110
Craig, CO 81625-2950
Mailing address
1111 W Victory Way
Suite 110
Craig, CO 81625-2950
Phone (970) 824-3488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410041337 | Other | CO | PALMETTO RR MEDICARE |
| 08015893 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 Pershing St
Suite 100
Craig, CO 81625-2954
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.63 of 100
- Quality
- 35.26
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1589 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Specialties Inc. | Optometrist | Current | Accepting new patients |
| Eyecare Specialties Inc. | Optometrist | Current | Accepting new patients |
Locations
1111 W Victory Way
Ste 110
Craig, CO 81625
Phone (870) 824-3488
460 Pershing St
Ste 100
Craig, CO 81625
Phone (435) 637-7860
Interoperability endpoints
- direct@eyecarespecialtiescraigco.compulinkdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Craig, CO
- NPI 1275931370
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- Optometrist
- Steamboat Springs, CO
- NPI 1164254710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1821142332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W VICTORY WAY",
"address_2": "SUITE 110",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252950",
"telephone_number": "970-824-3488",
"fax_number": "970-824-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W VICTORY WAY",
"address_2": "SUITE 110",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252950",
"telephone_number": "970-824-3488",
"fax_number": "970-824-8132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKROTH",
"first_name": "CRAIG",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "410041337",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08015893",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Craig, CO
- Thomas A Doty, PA
- Amber Douglas
- Jennifer Lynn Dunnell, MSOT
- Eastern Rio Blanco County Health Service District (Colorado Advanced Orthopedics Clinic)
- Eastern Rio Blanco County Health Service District (Colorado Advanced Orthopedics Physical Therapy)
- Brian P Edwards, D.M.D.
- Elevated Technologies LLC
- Lynae R Ellgen, LCSW
- Jimmy Scott Ellis, D.O.
- Jona M Ely, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.