Individual provider Active NPI

Michael Gale Kruglet, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1356656920
Registry record updated Aug 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2801 Issued in CO
Practice address
8250 Razorback Rd
Colorado Springs, CO 80920-3950
Phone
(719) 260-8065
NPI assigned
Aug 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2801 CO Primary

Addresses

Primary practice location

8250 Razorback Rd
Colorado Springs, CO 80920-3950

Mailing address

8250 Razorback Rd
Colorado Springs, CO 80920-3950
Phone (719) 260-8065

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160503001741 CO Practitioner - Optometry 9830498419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians
Abba Eye Care PCGroup PAC ID 1355231051, 26 clinicians

Practice addresses (Care Compare)

1033 S Gaylord St
Denver, CO 80209-4635
Phone (303) 282-5429

1130 Lake Plaza Dr
Suite 130
Colorado Springs, CO 80906-3595
Phone (719) 578-2020

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2801COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
Doctors Optical, Inc. Past Accepting new patients

Locations

5640 S Parker Rd
Aurora, CO 80015
Phone (303) 369-2020

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281225600000",
    "number": "1356656920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 RAZORBACK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203950",
            "telephone_number": "719-260-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 RAZORBACK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203950",
            "telephone_number": "719-260-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGLET",
        "first_name": "MICHAEL",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.