Individual provider Active NPI

Nicole Lynne Crampton, O.D.

  • Optometrist
  • Frederick, MD
National Provider Identifier
1821446808
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2787 Issued in MD
Practice address
5227 Buckeystown Pike
Frederick, MD 21704-7535
Phone
(301) 846-4055
NPI assigned
May 31, 2016
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2787 MD Primary

Addresses

Primary practice location

5227 Buckeystown Pike
Frederick, MD 21704-7535

Mailing address

5227 Buckeystown Pike
Frederick, MD 21704-7535
Phone (301) 846-4055

Other practice location 1

700 E Higgins Rd
Schaumburg, IL 60173-4701
Phone (847) 884-8799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2787MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Style Optique Inc Optometrist CurrentSince Jul 9, 2018 Accepting new patients

Locations

100 W Higgins Rd
Unit E30
South Barrington, IL 60010
Phone (847) 836-0108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1821446808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 BUCKEYSTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "301-846-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 BUCKEYSTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "301-846-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Higgins Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734701",
            "country_code": "US",
            "telephone_number": "847-884-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAMPTON",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.