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Dr. Conner Richard Crumbliss, OD

Optometrist in Emporia, KS. Individual provider (NPI-1).

NPI number1740959592
StatusActive
Last updated in NPPESMay 26, 2022

Details

NPI
1740959592
Entity type
Individual (NPI-1)
Name
Dr. Conner Richard Crumbliss
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 7, 2021
Certification date
May 26, 2022
Last updated
May 26, 2022

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 codeDescriptionLicenseStatePrimary
152W00000X Optometrist2159KSYes

Practice location

1602 W 15th Ave
Emporia, KS 66801-9803

Phone 620-342-6989

Mailing address

Po Box 207293
Dallas, TX 75320-7293

Phone 636-200-4393 · Fax 636-527-0766

Other practice locations

512 Commercial St
Emporia, KS 66801-4006

Phone 620-343-7120 · Fax 620-343-2038

800 N 4th St Ste 102
Burlington, KS 66839-2618

Phone 620-364-2134 · Fax 620-364-5477

2504 W 15th Ave
Emporia, KS 66801-6102

Phone 620-342-7054 · Fax 620-342-8203

313 W Main St
Council Grove, KS 66846-1706

Phone 620-412-4150 · Fax 620-412-4151

316 S Main St
Ottawa, KS 66067-2332

Phone 785-242-2020 · Fax 785-242-2335

18 N Broadway
Herington, KS 67449-2402

Phone 785-258-2314 · Fax 785-258-3225

2800 Sw Wanamaker Rd Ste 192
Topeka, KS 66614-4293

Phone 785-272-0707 · Fax 785-272-0575

2030 Sw Gage Blvd
Topeka, KS 66604-3340

Phone 785-354-8383

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.

Other Optometrist providers in Emporia, KS

All 19 Optometrist providers in Emporia · All 668 providers in Emporia

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