NPIMap

Organization Active NPI

Krueger Optometry LLC

Doing business as Eyeworks

  • Optometrist
  • Louisville, CO
National Provider Identifier
1174331078
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KRUEGER OPTOMETRY LLC
Doing business as
Eyeworks
Practice address
615 Main St
Louisville, CO 80027-1894
Phone
(303) 666-6320
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KRUEGER OPTOMETRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Jennifer Lynn KruegerNPI 1841890902
Title
Owner/Optometrist
Phone
(303) 305-6872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

615 Main St
Louisville, CO 80027-1894

Mailing address

615 Main St
Louisville, CO 80027-1894
Phone (303) 666-6320

Other names 1

  • Eyeworks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612003685 CO Part B Supplier - Clinic/Group Practice 8921403056 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Krueger Optometry LLC4 organizations share this tax ID, including this one
Part of
Krueger Optometry LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 Pearl St
Boulder, CO 80301
Phone (303) 209-0102

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1174331078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MAIN ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271894",
            "telephone_number": "303-666-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271894",
            "telephone_number": "303-666-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUEGER OPTOMETRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRUEGER OPTOMETRY LLC",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "303-305-6872"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.