DR. LACY NICOLE CRISSUP O.D.
NPI 1851521819
Optometrist in Claremore, OK

Active since July 23, 2009PECOS EnrolledAccepts Medicare Assignment
212 E BLUE STARR DR, CLAREMORE, OK 74017(918) 341-8211(918) 341-8233 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lacy Nicole Crissup O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LACY NICOLE CRISSUP O.D. (NPI 1851521819) is an individual optometrist in Claremore, Oklahoma, licensed in Oklahoma (2600) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851521819
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LACY NICOLE CRISSUPCredential: O.D.
Location Address212 E BLUE STARR DRClaremore, OK 74017-4223
Mailing Address212 E Blue Starr DrClaremore, OK 74017-4223 · (918) 341-8211 · Fax (918) 341-8233
Fax(918) 341-8233
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 23, 2009
NPI 1851521819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · 2600
Definition
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.
212 E BLUE STARR DR, Claremore, OK 74017

Other Names 1

Former Name (1)Lacy Nicole Smith

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lacy Nicole Crissup O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163558206
PECOS Enrollment IDI20100329000635
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
275 services274 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
237 services124 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
46 services34 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
34 services34 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
30 services26 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
212 E BLUE STARR DR
CLAREMORE, OK 74017
Optometrist
212 E BLUE STARR DR
CLAREMORE, OK 74017
Optometrist
212 E BLUE STARR DR
CLAREMORE, OK 74017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacy Crissup's NPI number?

The NPI number for Lacy Crissup is 1851521819. It was assigned to this individual provider in the NPPES registry on July 23, 2009. The provider is also known as Lacy Nicole Smith.

Where is Lacy Crissup located?

Lacy Crissup practices at 212 E Blue Starr Dr, Claremore, OK 74017. The listed phone number is (918) 341-8211.

What is Lacy Crissup's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lacy Crissup enrolled in Medicare?

Yes. Lacy Crissup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lacy Crissup accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Providence Health Plan and UnitedHealthcare list Lacy Crissup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacy Crissup was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.