Individual provider Active NPI

Benjamin Drew Crawford, O.D.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1871899807
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
309 Issued in AK
Practice address
207 E Northern Lights Blvd
#101
Anchorage, AK 99503-2731
Phone
(907) 272-9800
NPI assigned
Feb 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 309 AK Primary

Addresses

Primary practice location

207 E Northern Lights Blvd
#101
Anchorage, AK 99503-2731

Mailing address

PO Box 112325
Anchorage, AK 99511-2325
Phone (907) 346-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20110628000299 AK Practitioner - Optometry 6002094760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benjamin Crawford LLCGroup PAC ID 9931421765, 2 clinicians

Practice addresses (Care Compare)

3401 Minnesota Dr
Suite 200
Anchorage, AK 99503-3684
Phone (907) 272-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Crawford LLC Optometrist CurrentSince Mar 4, 2014 Accepting new patients

Locations

207 E Northern Lights Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 222-9905

3401 Minnesota Dr
Ste 200
Anchorage, AK 99503
Phone (907) 272-9800

Organizations & group practices 1

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": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1871899807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112325",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995112325",
            "telephone_number": "907-346-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E NORTHERN LIGHTS BLVD",
            "address_2": "#101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032731",
            "telephone_number": "907-272-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BENJAMIN",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.