Active NPI
Daniel Edward Creviston, O.D.
- Optometrist
- Moses Lake, WA
National Provider Identifier
1841630555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60394191
- Practice address
- 601 S Pioneer Way Ste G
Moses Lake, WA 98837-1837 - Phone
- (509) 766-2125
- Fax
- (509) 766-0147
- NPI assigned
- Jun 26, 2013
- 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 | OD60394191 | WA | Primary |
Addresses
Primary practice location
601 S Pioneer Way Ste G
Moses Lake, WA 98837-1837
Mailing address
601 S Pioneer Way Ste G
Moses Lake, WA 98837-1837
Phone (509) 766-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
46314 Timine Way
Pendleton, OR 97801-9417
Phone (541) 966-9830
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visual Eyes LLC | Optometrist | Current | Accepting new patients |
Locations
117 S Main St
Milton Frwtr, OR 97862
Phone (208) 390-4708
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.
-
- Optometrist
- Milton Freewater, OR
- NPI 1215313440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1841630555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S PIONEER WAY STE G",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371837",
"telephone_number": "509-766-2125",
"fax_number": "509-766-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S PIONEER WAY STE G",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371837",
"telephone_number": "509-766-2125",
"fax_number": "509-766-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREVISTON",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60394191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.