Individual provider Active NPI

Jennifer Nicole Kruid, OD

  • Optometrist
  • Eugene, OR
National Provider Identifier
1437036910
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4796 Issued in OR
Practice address
1011 Valley River Way Ste 110
Eugene, OR 97401-2127
Phone
(541) 762-2763
Fax
(541) 434-0912
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4796 OR Primary

Addresses

Primary practice location

1011 Valley River Way Ste 110
Eugene, OR 97401-2127

Mailing address

1011 Valley River Way Ste 110
Eugene, OR 97401-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250929003168 OR Practitioner - Optometry 7012413172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Vision PCGroup PAC ID 3173773694, 9 clinicians

Practice addresses (Care Compare)

1011 Valley River Way
Suite 110
Eugene, OR 97401-2127
Phone (541) 762-2763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4796ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Retina, LLP CurrentSince Sep 1, 2025 Accepting new patients
Sterling Vision, PC Optometrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

1011 Valley River Way
Ste 110
Eugene, OR 97401
Phone (541) 342-2201

535 9th St
Florence, OR 97439
Phone (503) 997-3331

Interoperability endpoints

  • Direct secure messaging: jkruid@orretina.intellechartdirect.net

Organizations & group practices 2

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1437036910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VALLEY RIVER WAY STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012127",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUID",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.