Active NPI
Roberta J Crawford, O.D.
- Optometrist
- Crystal City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO3244
- Practice address
- 400 S Truman Blvd
Crystal City, MO 63019-1726 - Phone
- (636) 933-6020
- Fax
- (636) 933-6420
- NPI assigned
- Oct 4, 2006
- Last updated
- Oct 28, 2010
- Sex
- Female
- 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 | TO3244 | MO | Primary |
Addresses
Primary practice location
400 S Truman Blvd
Crystal City, MO 63019-1726
Mailing address
400 S Truman Blvd
Crystal City, MO 63019
Phone (636) 933-6020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314639113 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12990 Manchester Rd
Saint Louis, MO 63131-1860
7331 Watson Rd
Galanis Cataract and Laser Center
Saint Louis, MO 63119-4405
Phone (314) 633-8575
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.58 of 100
- Quality
- 80.09
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 61.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO3244 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Consultants, LLC | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants, LLC | Current | Accepting new patients | |
| Day Optometry, Inc. | Past | Accepting new patients | |
| Family Vision Associates, LLC | Past | Accepting new patients |
Locations
12990 Manchester Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 909-0633
621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300
7331 Watson Rd
Saint Louis, MO 63119
Phone (314) 633-8575
Interoperability endpoints
- roberta.crawford.p1@direct.ocltd.nextgenshare.com
- roberta.crawford.p2@direct.ocltd.nextgenshare.com
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.
-
- Eyewear Supplier
- Crystal City, MO
- NPI 1083869614
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1659799575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1871689349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S TRUMAN BLVD",
"city": "CRYSTAL CITY",
"state": "MO",
"postal_code": "63019",
"telephone_number": "636-933-6020",
"fax_number": "636-933-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S TRUMAN BLVD",
"city": "CRYSTAL CITY",
"state": "MO",
"postal_code": "630191726",
"telephone_number": "636-933-6020",
"fax_number": "636-933-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "ROBERTA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO3244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314639113",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.