John Bernard Krebsbach, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1571ATI Issued in OR

Practice address

518 SE Oak St Ste 2020
Hillsboro, OR 97123-4896

Phone

(503) 648-2020

Fax

(503) 648-0868

NPI assigned

Oct 26, 2006

Last updated

Nov 6, 2017By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• John B Krebsbach

  dba Family Vision Practice

  • Optometrist
  • Hillsboro, OR
  • NPI 1114194552
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1134204159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 WATERCREST RD",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161034",
            "telephone_number": "503-357-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SE OAK ST STE 2020",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234896",
            "telephone_number": "503-648-2020",
            "fax_number": "503-648-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBSBACH",
        "first_name": "JOHN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1571ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130026",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Kraemer
• Madison Brooke Kramer
• Kim Renne Krause, MS,CADC III, QMHP
• Linda Kay Krautscheid, RN
• Sally Elizabeth Kraynik, MSN, AGPCNP-BC
• Jenna Krickeberg, B.A.
• Shakuntala Krishnamurthy, MD
• Kristen E Flemmer MD PC
• Robert M Kroodsma, DMD
• Daniel Krueger, DC

• Optometrist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.