Individual provider Active NPI

Constance Josephine Crossnoe, O.D.

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1831178862
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05386TG Issued in TX
Practice address
1610 5TH St
Lubbock, TX 79401-2622
Phone
(806) 765-2611
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05386TG TX Primary

Addresses

Primary practice location

1610 5TH St
Lubbock, TX 79401-2622

Mailing address

5412 28TH St
Lubbock, TX 79407-3405
Phone (806) 743-7676

Other practice location 1

4410 19th St Ste 140
Lubbock, TX 79407-2444
Phone (806) 771-2020

Other identifiers 1

IdentifierTypeStateIssuer
038322602MedicaidTX

Other names 1

  • Constance Conner Crossnoe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060316000339 TX Practitioner - Optometry 2860409885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4004 82ND St
Suite 200
Lubbock, TX 79423-2064
Phone (806) 743-7676

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05386TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 20, 2011 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 20, 2011 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

4004 82nd St
Ste 200
Lubbock, TX 79423
Phone (806) 743-7676

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

Organizations & group practices 4

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1831178862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 28TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073405",
            "telephone_number": "806-743-7676",
            "fax_number": "806-743-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 19th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072444",
            "country_code": "US",
            "telephone_number": "806-771-2020",
            "fax_number": "806-771-3581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSNOE",
        "first_name": "CONSTANCE",
        "middle_name": "JOSEPHINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05386TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038322602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "CROSSNOE",
            "middle_name": "CONNER",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.