Thomas R Kroll, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

152 Issued in NV

Practice address

305 N Pecos Rd
Suite a
Henderson, NV 89074-1351

Phone

(702) 737-0003

Fax

(702) 737-0321

NPI assigned

Sep 22, 2005

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

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henderson Vision Care LLC

  • Optometrist
  • Henderson, NV
  • NPI 1366906976
  Medicare reassignment NPD

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1114913472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-737-0003",
            "fax_number": "702-737-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-737-0003",
            "fax_number": "702-737-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Kristensen, DMD
• Dario Kristic
• Kristina Shurtleff MD PC (Shurtleff Family Practice)
• Andrea I Krohn
• Michael Duane Krohn, PHARM.D
• Amanda Kropf, PT
• Andrea Ellen Krueger, M.ED., MFT
• Mikael A Krueger, PHARM.D.
• Job Krugly, D.C.
• Colin Kruse

• Optometrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.