Individual provider Active NPI

Craig Thomas Ulrich II, OD

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1962056507
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002371 Issued in AZ
Practice address
4925 S Alma School Rd Ste 1
Chandler, AZ 85248-5634
Phone
(480) 883-0900
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002371 AZ Primary

Addresses

Primary practice location

4925 S Alma School Rd Ste 1
Chandler, AZ 85248-5634

Mailing address

4925 S Alma School Rd Ste 1
Chandler, AZ 85248-5634
Phone (808) 830-9004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191007002899 AZ Practitioner - Optometry 4880925767 Reassigns benefits to 1 organization
I20250825002051 OR Practitioner - Optometry 4880925767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCD Professionals PCGroup PAC ID 1658457098, 3 clinicians

Practice addresses (Care Compare)

4925 S Alma School Rd
Suite 1
Chandler, AZ 85248-5634
Phone (480) 883-0900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4779ORMDPediatric Dentist
OPT-002371AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Madras Vision Source PC Optometrist CurrentSince Oct 30, 2025 Accepting new patients
Erin Follen OD LLC Optometrist CurrentSince Jul 8, 2025 Accepting new patients
LCD Professionals,PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Ulrich Eyecare, LLC Optometrist Current Accepting new patients
Curtis L. Dix, OD, PC Optometrist PastSince Oct 30, 2025 Accepting new patients
Mark J. Page OD PC Optometrist PastSince Aug 1, 2019 Accepting new patients

Locations

4925 S Alma School Rd
Ste 1
Chandler, AZ 85248
Phone (480) 415-3241

62968 Riley Rd
Ste 11
Bend, OR 97703
Phone (541) 382-2020

211 S 5th St
Madras, OR 97741
Phone (541) 475-2020

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1962056507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485634",
            "telephone_number": "808-830-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485634",
            "telephone_number": "480-883-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "CRAIG",
        "middle_name": "THOMAS",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.