Lisa Gail Crouch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4627T Issued in TX

Practice address

10 000 Emmett F Lowry Expy 1480
Texas City, TX 77591-1478

Phone

(409) 986-2155

Fax

(409) 986-5425

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

No

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.

• Vision Source - Chambers Town Center PLLC

  • Optometrist
  • Baytown, TX
  • NPI 1073047734
  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2008.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1962665273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 000 EMMETT F LOWRY EXPY 1480",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911478",
            "telephone_number": "409-986-2155",
            "fax_number": "409-986-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 000 EMMETT F LOWRY EXPY 1480",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911478",
            "telephone_number": "409-986-2155",
            "fax_number": "409-986-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "LISA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4627T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CP Home Care II, LLC
• CP Home Care, LLC
• Kenshara Marie Cravens, LMSW, CCM, LCDC(CI)
• Kathryn Cecelia Crawford, RPH
• Xavier Crespo
• Katherine Cruz
• CVS Pharmacy Inc
• Danforth Gardens Nursing & Rehabilitation, L.P.
• Angela Dantin, O.D.
• David C.S. Nickeson, M.D., P.a.

• All providers in Texas City, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.