Thomas F Krauel, O.D.
Individual provider Active NPI Optometrist · Alturas, CA
NPI 1124000831 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1124000831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT 7507 TPG (CA)
- Practice address
- 1201 Thomason LN
Alturas, CA 96101-3150 - Phone
- (530) 233-2020
- Fax
- (530) 233-5430
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081030000692 | CA | Practitioner - Optometry | 0042379422 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 7507 TPG | CA | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 7507 TPG | CA | Yes |
Addresses
Primary practice location
1201 Thomason LN
Alturas, CA 96101-3150
Mailing address
2640 Biehn St Ste 3
Klamath Falls, OR 97601-1181
Phone (541) 883-3688
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410007471 | Other | PALMETTO/RAILROAD MEDICAR | |
| 1124000831 | Medicaid | CA | |
| 1124000831 | Other | CA | VISION SERVICE PLAN |
| 12571 | Other | CA | MEDICAL EYE SERVICES |
Other providers in Alturas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.