Lawrence Joseph Kruse, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

I30001125 Issued in DE

Practice address

1106 Drummond Plaza
Newark, DE 19711-5705

Phone

(302) 731-7132

Fax

(302) 731-7132

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1073535571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DRUMMOND PLAZA",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115705",
            "telephone_number": "302-731-7132",
            "fax_number": "302-731-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUMMOND PLAZA",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115705",
            "telephone_number": "302-731-7132",
            "fax_number": "302-731-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0081040000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000025822",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "0505233",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Entela A Kristo, PA-C
• Emily Elizabeth Kriston, PA-C
• Alexandra Krochta, PA
• Lauren Krott, RD
• Lucy Marie Krug
• Brittany Anne Krzyzanowski, WHNP-BC
• Elizabeth Ann Kubasko, D.M.D.
• Emma Kubik, NNP
• Rachel Emily Kubinski, DPT
• Christina M. Kuehn, CRNA

• Optometrist in Newark, DE
• Providers in Newark, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.