Jeffrey Ronald Crowley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2852 Issued in MN

Practice address

111 Star St
Suite 101
Mankato, MN 56001-4888

Phone

(507) 385-8110

Fax

(507) 385-8107

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amj Optometric Services PSC 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Amj Optometric Services PSC

  • Optometrist
  • Mankato, MN
  • NPI 1659635209

  MN, Optometrist

  Medicare reassignment Care Compare group NPD
• John Max Gutfleisch, O.D.

  • Optometrist
  • Waseca, MN
  • NPI 1437206679

  MN

  Medicare reassignment

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851473920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STAR ST",
            "address_2": "SUITE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014888",
            "telephone_number": "507-385-8110",
            "fax_number": "507-385-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STAR ST",
            "address_2": "SUITE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014888",
            "telephone_number": "507-385-8110",
            "fax_number": "507-385-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JEFFREY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher H. Crocker, PA-C
• Richard E Crockett, MD
• Brooke Anne Crosby
• Amily Rose Crowell, LADC
• Annika Crowell
• Maranda Joann Cruz Berriel, RDN
• Lucy Cruz
• Kaitlyn Culbert
• Elizabeth Cumberland, NP
• Sarah Lynn Curran

• All providers in Mankato, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.