DR. CHARLES MIKEL CRAIG O.D. NPI 1275848962

Optometrist in South Bend, IN

About CHARLES CRAIG

Charles Craig is a provider in South Bend, IN with more than 9 years of experience. The NPI number assigned to this provider is 1275848962. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Charles Craig is registered with Medicare and accepts claims assignment.

NPI

1275848962

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. CHARLES MIKEL CRAIG O.D.
Provider Location Address220 N. IRONWOOD DR. SOUTH BEND, IN 46615 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 549 WABASH, IN 46992 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year2010
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-18-2010 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-05-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code152W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.18003759
License StateIN
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

DR. CHARLES MIKEL CRAIG O.D.
220 N. IRONWOOD DR.
SOUTH BEND, IN
ZIP 46615
Phone: (574) 289-3937
Fax: (574) 280-7355

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Mailing Address

DR. CHARLES MIKEL CRAIG O.D.
PO BOX 549
WABASH, IN
ZIP 46992
Phone: (260) 569-9550
Fax: (260) 569-0760

Medicare Participation

Registered in PECOS? Yes Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1355526476
PECOS Enrollment IDI20120914000720
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program/td> Yes Additional informationCallout Tooltip"Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2016. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 316Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 137Photography of the retina (HCPCS:92250)
  • 65Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 39Diagnostic imaging of retina (HCPCS:92134)
  • 38Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 34Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 15Diagnostic imaging of optic nerve of eye (HCPCS:92133)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152W00000XEye and Vision Services ProvidersOptometrist5936OHNo

Taxonomy Description: doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P01148486MEDICARE PIN (08)IN
M400042747MEDICARE PIN (08)IN
452570004MEDICARE PIN (08)IN
M400043187MEDICARE PIN (08)IN
201086990MEDICAID (05)IN
160450037MEDICARE PIN (08)IN
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