James E Crockett, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-B79-TA-791 Issued in AL

Practice address

605 Jasmine TRL
Prattville, AL 36066-3661

Phone

(334) 365-2020

Fax

(334) 365-4845

NPI assigned

Jun 16, 2008

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AL

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

University Alabama Birmingham - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barry J McNamara OD PCGroup PAC ID 5496826877, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barry J McNamara OD PC

  • Optometrist
  • Prattville, AL
  • NPI 1457524597
  Medicare reassignment Care Compare group NPD
• Crockett Eye Care LLC

  • Optometrist
  • Calera, AL
  • NPI 1114164993
  Authorized official Same address or phone

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1891955639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 JASMINE TRL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663661",
            "telephone_number": "334-365-2020",
            "fax_number": "334-365-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JASMINE TRL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663661",
            "telephone_number": "334-365-2020",
            "fax_number": "334-365-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B79-TA-791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Cox
• Shannon Craig, DC
• Caitlin Crawford
• Tyson Carter Crisman, MPT
• Abreascia Crockett, REGISTERED NURSE
• Zachary Crothers, ATC
• Kimberly Crowe, OTR/L
• Caroline Galdina Cruz
• Casey McGathey Culpepper, FNP-BC
• Avery Roy Culver, PT

• Optometrist in Prattville, AL
• Providers in Prattville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.