Dr. Nicole Suzanne Crossland
Optometrist in Springfield, OR. Individual provider (NPI-1).
NPI number1295933018
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1295933018
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Suzanne Crossland
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2007
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3222ATI | OR | Yes |
Practice location
840 A StSpringfield, OR 97477-4710
Phone 541-747-0616 · Fax 541-747-0617
Mailing address
840 A StSpringfield, OR 97477-4710
Phone 541-726-5055
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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