Organization Active NPI

W. Steve Kroeger O.D., P.a.

Doing business as Kroeger Eyecare Center

  • Optometrist
  • Fredericksburg, TX
National Provider Identifier
1023026333
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2343TG Issued in TX
Legal business name
W. STEVE KROEGER O.D., P.A.
Doing business as
Kroeger Eyecare Center
Practice address
508 S Adams St
Fredericksburg, TX 78624-4437
Phone
(830) 997-7528
Fax
(830) 997-4363
NPI assigned
Aug 3, 2006
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. William Steve Kroeger, O.D.
Title
President & Ceo
Phone
(830) 997-7528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2343TG TX Primary

Addresses

Primary practice location

508 S Adams St
Fredericksburg, TX 78624-4437

Mailing address

508 S Adams St
Fredericksburg, TX 78624-4437
Phone (830) 997-7528

Other identifiers 1

IdentifierTypeStateIssuer
0192502-01MedicaidTX

Other names 1

  • Kroeger Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

102 W Ollie St
Llano, TX 78643
Phone (325) 247-5469

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1023026333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244437",
            "telephone_number": "830-997-7528",
            "fax_number": "830-997-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244437",
            "telephone_number": "830-997-7528",
            "fax_number": "830-997-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. STEVE KROEGER O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "830-997-7528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2343TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192502-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroeger Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.