DR. FATIMA HUSSAIN CROFTON OD
NPI 1922578558
Optometrist in Jacksonville, FL

Q: What is Fatima Crofton's NPI number?

The NPI number for Fatima Crofton is 1922578558. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Q: What is Fatima Crofton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fatima Crofton was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 27, 2018PECOS EnrolledAccepts Medicare Assignment

75.22/100

CMS Quality Rating

6817 SOUTHPOINT PKWY STE 1503, JACKSONVILLE, FL 32216(904) 903-4068(904) 900-5347 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 22, 2022, Nov 29, 2018 (2 updates tracked since 2018).

On this page

About Dr. Fatima Hussain Crofton Od NPPES

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

DR. FATIMA HUSSAIN CROFTON OD (NPI 1922578558) is an individual optometrist in Jacksonville, Florida, licensed in Florida (OPC5606) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2016).

NPPES Registry Identity

NPI1922578558

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. FATIMA HUSSAIN CROFTONCredential: OD

Location Address6817 SOUTHPOINT PKWY STE 1503Jacksonville, FL 32216-6298

Mailing Address6817 Southpoint Pkwy Ste 1503Jacksonville, FL 32216-6298 · (904) 903-4068 · Fax (904) 900-5347

Phone(904) 903-4068

Fax(904) 900-5347

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2016

Enumeration DateNovember 27, 2018

Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1922578558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC5606

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPC5606 (FL)

6817 SOUTHPOINT PKWY STE 1503, Jacksonville, FL 32216

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fatima Hussain Crofton Od 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 ID9830437425

PECOS Enrollment IDI20190206000881

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.

Medicare Billing Reassignments

Medicare enrollment records show Fatima Crofton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Champion Eye Inc

0.2 mi

Ophthalmology

6817 SOUTHPOINT PKWY STE 1503
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1568056026 (904) 903-4068

Family First Vision Care, PLLC

3.6 mi

Optometrist

4413 TOWN CENTER PKWY STE 207
Jacksonville, FL 32246

Reassigned Medicare billing, Florida enrollment
67 clinicians in this Medicare group

NPI 1104341882 (904) 998-9871

University Of Florida Jacksonville Physicians Inc

7.4 mi

Neurological Surgery

580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1225298599 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

936 services556 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.

427 services343 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).

267 services260 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.

259 services231 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

246 services190 patients

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.

143 services128 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

98 services60 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

90 services90 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

71 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

54 services54 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.

41 services41 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.

31 services29 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

29 services29 patients

Removal of foreign body from external eye (conjunctiva) 65205

This procedure involves the careful extraction of a foreign object from the surface of your eye, specifically the conjunctiva. This could be dust, metal, or any small particle. A healthcare professional uses specialized tools to gently remove the object, thus alleviating discomfort and preventing potential damage to your eye.

13 services13 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

17.42

Other Providers at the Same Location NPPES 4

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

COVE DIAGNOSTICS

Clinical Medical Laboratory

6817 SOUTHPOINT PKWY STE 1503
JACKSONVILLE, FL 32216

Duval County (386) 222-4199

STRATEGIC HEALTHCARE SOLUTIONS LLC

Nursing Care

6817 SOUTHPOINT PKWY STE 1503
JACKSONVILLE, FL 32216

Duval County (904) 536-9101

CHAMPION EYE INC

Ophthalmology

6817 SOUTHPOINT PKWY STE 1503
JACKSONVILLE, FL 32216

Duval County (904) 903-4068

DR. LENKA S CHAMPION M.D.

Ophthalmology

6817 SOUTHPOINT PKWY STE 1503
JACKSONVILLE, FL 32216

Duval County (904) 903-4068

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 Fatima Crofton's NPI number?

The NPI number for Fatima Crofton is 1922578558. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Where is Fatima Crofton located?

Fatima Crofton practices at 6817 Southpoint Pkwy Ste 1503, Jacksonville, FL 32216. The listed phone number is (904) 903-4068.

What is Fatima Crofton's specialty?

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

Is Fatima Crofton enrolled in Medicare?

Yes. Fatima Crofton 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.

Which organizations bill Medicare for Fatima Crofton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Crofton reassigns Medicare benefits to 3 organizations: Champion Eye Inc (Jacksonville, FL), Family First Vision Care, PLLC (Jacksonville, FL) and University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fatima Crofton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fatima Crofton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Fatima Crofton 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 Fatima Crofton was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.