Individual provider Active NPI

Craig Daniel Eck, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1982018594
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33601 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone
(405) 271-6060
Fax
(405) 271-1926
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2014018140 MO
Ophthalmology Physician 207W00000X 33601 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone (405) 271-6060

Other practice location 1

1755 S Grand Blvd
Saint Louis, MO 63104-1540
Phone (314) 256-3240

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709003066 MO Practitioner - Ophthalmology 3173740537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Eye Specialists PCGroup PAC ID 0042375941, 6 clinicians

Practice addresses (Care Compare)

1011 Bowles Ave
Suite 200
Fenton, MO 63026-2384
Phone (636) 717-1700

Hospital & facility affiliations

  • Parkland Health Center Hospital, Farmington, MO, CCN 260163

Merit-based Incentive Payment System (MIPS)

Final score
91.88 of 100Reported as group
Quality
83.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014018140MOMDOphthalmology Physician
33601OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eye Specialists PC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients

Locations

3619 Richardson Square Dr
Ste 100
Arnold, MO 63010
Phone (636) 717-6700

1390 W Liberty St
Farmington, MO 63640
Phone (314) 835-9400

1011 Bowles Ave
Ste 200
Fenton, MO 63026
Phone (636) 343-6664

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1982018594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-6060",
            "fax_number": "405-271-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-6060",
            "fax_number": "405-271-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041540",
            "country_code": "US",
            "telephone_number": "314-256-3240",
            "fax_number": "314-771-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECK",
        "first_name": "CRAIG",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2014018140",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "33601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.