Individual provider Active NPI

Alicia Price Crooks, OD

  • Optometrist
  • Bossier City, LA
National Provider Identifier
1831354919
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1558590T Issued in LA
Practice address
2536 Airline Drive
Bossier City, LA 71111
Phone
(318) 742-9690
Fax
(318) 747-9492
NPI assigned
Jul 28, 2008
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 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 1558590T LA Primary

Addresses

Primary practice location

2536 Airline Drive
Bossier City, LA 71111

Mailing address

461 Linton Rd
Benton, LA 71006
Phone (318) 623-1664

Other identifiers 2

IdentifierTypeStateIssuer
1368971MedicaidLA
1558590TOtherLALICENSE

Other names 1

  • Dr. Alicia K Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080822000028 LA Practitioner - Optometry 1759456999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Zaffater Eye CenterGroup PAC ID 4385931773, 2 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 460
Bossier City, LA 71111-1918
Phone (318) 747-5838

2536 Airline Dr
Bossier City, LA 71111-5813
Phone (318) 742-9690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1558590TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zaffater Eye Center, LLC CurrentSince Aug 24, 2021 Accepting new patients
WK Zaffater Eye Center CurrentSince Aug 24, 2021 Accepting new patients
Alicia P Crooks, a Professional Optometry LLC Optometrist CurrentSince Mar 12, 2015 Accepting new patients

Locations

2449 Hospital Dr
Ste 460
Bossier City, LA 71111
Phone (318) 747-5838

2536 Airline Dr
Bossier City, LA 71111
Phone (318) 742-9690

Interoperability endpoints

  • Direct secure messaging: acrooks1@direct.wkhs.com
  • Direct secure messaging: aliciacrooks@wkhealth.direct.eyemdemr.com

Organizations & group practices 3

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1831354919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 LINTON RD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "71006",
            "telephone_number": "318-623-1664",
            "fax_number": "318-550-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 AIRLINE DRIVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-742-9690",
            "fax_number": "318-747-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "ALICIA",
        "middle_name": "PRICE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1558590T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368971",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1558590T",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "PRICE",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.