Krein and Moen PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

578 Issued in ND

Legal business name

KREIN AND MOEN PC

Doing business as

Family Vision Center

Practice address

110 9TH Ave S
Carrington, ND 58421-2020

Phone

(701) 652-2020

Fax

(701) 652-2942

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy HendricksonNPI 1770558249

Title

Optometrist

Phone

(701) 652-2020

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Center Doing business as

Tax ID family

DRS Krein and Moen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Krein and Moen, PC

  dba Rugby Eye Clinic

  • Optometrist
  • Rugby, ND
  • NPI 1619027810
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathy Marie Hendrickson, OD

  • Optometrist
  • Carrington, ND
  • NPI 1770558249
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1013191923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 9TH AVE S",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 9TH AVE S",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584212020",
            "telephone_number": "701-652-2020",
            "fax_number": "701-652-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREIN AND MOEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "701-652-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel M Jordaan
• Kathy Hendrickson, O.D., P.C. (Family Vision Center)
• Ryan Anton Keffeler, FNP
• Robin B Kenner, PHARMD
• Callie Krause
• Julie Ann Kutz
• Linde, LLC (Golden Acres Estates)
• Brittany Leigh Long, APRN, PMHNP
• Ashley Lutman
• Richard Joseph Macker, FNP-C

• Optometrist in Carrington, ND
• Providers in Carrington, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.